29D2242991 CLIA NUMBER - JOHNSON HEALTH SOLUTIONS

Laboratory Demographics

CLIA Number: 29D2242991

Facility Name: JOHNSON HEALTH SOLUTIONS

Facility Address:
8440 W LAKE MEAD BLVD STE 214
LAS VEGAS, NV
ZIP 89128
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Facility Phone Number: 702 508-9279

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1710599535

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	29D2242991
LAB Type	Practitioner Other
Facility Name	JOHNSON HEALTH SOLUTIONS
Street	8440 W LAKE MEAD BLVD STE 214
City	LAS VEGAS
State	NV
ZIP	89128
Phone	702 508-9279
CertificateType	4
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	Waiver

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