29D2177248 CLIA NUMBER - HEALTHY KIDS CARE AT SUNRISE

Laboratory Demographics

  • CLIA Code: 29D2177248
  • Facility Name: HEALTHY KIDS CARE AT SUNRISE
  • Facility Address: 3196 S MARYLAND PKWY STE 411
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: 310 561-0005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ATOUSA GHANEIAN
  • NPI Number: 1689212045
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D2177248
LAB Type Physician Office
Facility Name HEALTHY KIDS CARE AT SUNRISE
Street 3196 S MARYLAND PKWY STE 411
City LAS VEGAS
State NV
ZIP 89109
Phone 310 561-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Physician Office
Lab Director ATOUSA GHANEIAN

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