29D2143822 CLIA NUMBER - NEVADA FAMILY CARE AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 29D2143822
  • Facility Name: NEVADA FAMILY CARE AND WELLNESS CENTER
  • Facility Address: 861 CORONADO CENTER DR STE 220
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 933-1485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IBRAHIM T. FAKHOURI

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CLIA Record

Field Name Field Value
CLIA Number 29D2143822
LAB Type Physician Office
Facility Name NEVADA FAMILY CARE AND WELLNESS CENTER
Street 861 CORONADO CENTER DR STE 220
City HENDERSON
State NV
ZIP 89052
Phone 702 933-1485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director IBRAHIM T. FAKHOURI

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This page was last updated on: 6/4/2025