29D2186807 CLIA NUMBER - MYOBGYN

Laboratory Demographics

  • CLIA Code: 29D2186807
  • Facility Name: MYOBGYN
  • Facility Address: 6850 N DURANGO DRIVE, SUITE 401
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 405-9067
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER BACALA
  • NPI Number: 1114281706
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 29D2186807
LAB Type Physician Office
Facility Name MYOBGYN
Street 6850 N DURANGO DRIVE, SUITE 401
City LAS VEGAS
State NV
ZIP 89149
Phone 702 405-9067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director HEATHER BACALA

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