29D2167750 CLIA NUMBER - SAN MIGUEL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 29D2167750
  • Facility Name: SAN MIGUEL MEDICAL CENTER
  • Facility Address: 845 W CRAIG RD STE 104
    N LAS VEGAS, NV
    ZIP 89032
  • Facility Phone: 702 740-0648
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHRISTINA MARTINEZ
  • NPI Number: 1386110443
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2167750
LAB Type Practitioner Other
Facility Name SAN MIGUEL MEDICAL CENTER
Street 845 W CRAIG RD STE 104
City N LAS VEGAS
State NV
ZIP 89032
Phone 702 740-0648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Practitioner Other
Lab Director CHRISTINA MARTINEZ

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