29D2116478 CLIA NUMBER - DURANGO HEALTH GROUP

Laboratory Demographics

CLIA Number: 29D2116478

Facility Name: DURANGO HEALTH GROUP

Facility Address:
3140 S DURANGO DRIVE, SUITE 100B
LAS VEGAS, NV
ZIP 89117
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Facility Phone Number: 702 273-3680

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396190716

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	29D2116478
LAB Type	Physician Office
Facility Name	DURANGO HEALTH GROUP
Street	3140 S DURANGO DRIVE, SUITE 100B
City	LAS VEGAS
State	NV
ZIP	89117
Phone	702 273-3680
CertificateType	4
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024