29D2169589 CLIA NUMBER - LAS VEGAS NEUROLOGY CENTER

Laboratory Demographics

CLIA Number: 29D2169589

Facility Name: LAS VEGAS NEUROLOGY CENTER

Facility Address:
2010 WELLNESS WAY, SUITE 302
LAS VEGAS, NV
ZIP 89106
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Facility Phone Number: 702 893-8986

Facility Type: Other - RESEARCH DEPARTMENT

Certificate Type: Waiver

NPI Number: 1033589593

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	29D2169589
LAB Type	Other - RESEARCH DEPARTMENT
Facility Name	LAS VEGAS NEUROLOGY CENTER
Street	2010 WELLNESS WAY, SUITE 302
City	LAS VEGAS
State	NV
ZIP	89106
Phone	702 893-8986
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024