29D2143377 CLIA NUMBER - GAY AND LESBIAN COMMUNITY CTR OF SO NV, THE + MOBILE

Laboratory Demographics

  • CLIA Code: 29D2143377
  • Facility Name: GAY AND LESBIAN COMMUNITY CTR OF SO NV, THE + MOBILE
  • Facility Address: 401 S MARYLAND PARKWAY
    LAS VEGAS, NV
    ZIP 89101
  • Facility Phone: 702 802-5410
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JERRY CADE
  • NPI Number: 1356730436
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 29D2143377
LAB Type Community Clinic
Facility Name GAY AND LESBIAN COMMUNITY CTR OF SO NV, THE + MOBILE
Street 401 S MARYLAND PARKWAY
City LAS VEGAS
State NV
ZIP 89101
Phone 702 802-5410
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Community Clinic
Lab Director JERRY CADE

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