29D2198881 CLIA NUMBER - LIGHTNING VIP

Laboratory Demographics

  • CLIA Code: 29D2198881
  • Facility Name: LIGHTNING VIP
  • Facility Address: 2900 N GREEN VALLEY PKWY SUITE 114
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 725 243-1058
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALEXANDRIA LIGHTNING
  • NPI Number: 1902422629
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2198881
LAB Type Practitioner Other
Facility Name LIGHTNING VIP
Street 2900 N GREEN VALLEY PKWY SUITE 114
City HENDERSON
State NV
ZIP 89014
Phone 725 243-1058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Practitioner Other
Lab Director ALEXANDRIA LIGHTNING

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