29D2196581 CLIA NUMBER - MOUNTAINVIEW HOSPITAL INFUSION CENTER A DEPARTMENT OF MOUNTAINVIEW HOSPITAL

Laboratory Demographics

  • CLIA Code: 29D2196581
  • Facility Name: MOUNTAINVIEW HOSPITAL INFUSION CENTER A DEPARTMENT OF MOUNTAINVIEW HOSPITAL
  • Facility Address: 3150 N TENAYA WAY STE 540
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: 702 962-7551
  • Facility Type: Other - OUTPATIENT INFUSION CTR
  • Facility Type: Waiver
  • Lab Director: KEVIN L. GOLDEN
  • NPI Number: 1184190464
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D2196581
LAB Type Other - OUTPATIENT INFUSION CTR
Facility Name MOUNTAINVIEW HOSPITAL INFUSION CENTER A DEPARTMENT OF MOUNTAINVIEW HOSPITAL
Street 3150 N TENAYA WAY STE 540
City LAS VEGAS
State NV
ZIP 89128
Phone 702 962-7551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Other - OUTPATIENT INFUSION CTR
Lab Director KEVIN L. GOLDEN

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