29D2186807 CLIA NUMBER - MYOBGYN

Laboratory Demographics

CLIA Number: 29D2186807

Facility Name: MYOBGYN

Facility Address:
6850 N DURANGO DRIVE, SUITE 401
LAS VEGAS, NV
ZIP 89149
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Facility Phone Number: 702 405-9067

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114281706

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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