29D2149378 CLIA NUMBER - HENDERSON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 29D2149378
  • Facility Name: HENDERSON PRIMARY CARE
  • Facility Address: 1389 GALERIA DR STE 100
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 725 333-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. SHOEMAKER
  • NPI Number: 1033778220
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 29D2149378
LAB Type Physician Office
Facility Name HENDERSON PRIMARY CARE
Street 1389 GALERIA DR STE 100
City HENDERSON
State NV
ZIP 89014
Phone 725 333-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director WILLIAM R. SHOEMAKER

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