29D2175735 CLIA NUMBER - ST ROSE PEDIATRICS-CHEYENNE

Laboratory Demographics

CLIA Number: 29D2175735

Facility Name: ST ROSE PEDIATRICS-CHEYENNE

Facility Address:
8980 W CHEYENNE AVE
LAS VEGAS, NV
ZIP 89129
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Facility Phone Number: 702 564-8556

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659471431

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	29D2175735
LAB Type	Physician Office
Facility Name	ST ROSE PEDIATRICS-CHEYENNE
Street	8980 W CHEYENNE AVE
City	LAS VEGAS
State	NV
ZIP	89129
Phone	702 564-8556
CertificateType	4
CertificateEffectiveDate	11/27/2023
CertificateExpirationDate	11/26/2025
FacilityType	Waiver

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