29D2155387 CLIA NUMBER - PREMIER OBGYN OF SOUTHERN NEVADA

Laboratory Demographics

  • CLIA Code: 29D2155387
  • Facility Name: PREMIER OBGYN OF SOUTHERN NEVADA
  • Facility Address: 3041 W HORIZON RIDGE PKWY STE 165
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 834-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAYAT JAWADI
  • NPI Number: 1740632819
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 29D2155387
LAB Type Physician Office
Facility Name PREMIER OBGYN OF SOUTHERN NEVADA
Street 3041 W HORIZON RIDGE PKWY STE 165
City HENDERSON
State NV
ZIP 89052
Phone 702 834-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director HAYAT JAWADI

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