29D2130112 CLIA NUMBER - PARKER MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 29D2130112
  • Facility Name: PARKER MEDICAL PLLC
  • Facility Address: 5380 S RAINBOW BLVD STE 236
    LAS VEGAS, NV
    ZIP 89118
  • Facility Phone: 702 778-2204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYON E. PARKER
  • NPI Number: 1558807313
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2130112
LAB Type Physician Office
Facility Name PARKER MEDICAL PLLC
Street 5380 S RAINBOW BLVD STE 236
City LAS VEGAS
State NV
ZIP 89118
Phone 702 778-2204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director RYON E. PARKER

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This page was last updated on: 9/29/2025