29D2194109 CLIA NUMBER - LAS VEGAS CLINICAL TRIALS LLC

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Laboratory Demographics

CLIA Number: 29D2194109

Facility Name: LAS VEGAS CLINICAL TRIALS LLC

Facility Address:
1815 E LAKE MEAD BLVD STE 307
N LAS VEGAS, NV
ZIP 89030
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Facility Phone Number: 520 241-9435

Facility Type: Other - CLINICAL RESEARCH CENTER

Certificate Type: Waiver

NPI Number: 1245234145

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	29D2194109
LAB Type	Other - CLINICAL RESEARCH CENTER
Facility Name	LAS VEGAS CLINICAL TRIALS LLC
Street	1815 E LAKE MEAD BLVD STE 307
City	N LAS VEGAS
State	NV
ZIP	89030
Phone	520 241-9435
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

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