29D2256301 CLIA NUMBER - LAS VEGAS COLLEGE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 29D2256301
  • Facility Name: LAS VEGAS COLLEGE MEDICAL CLINIC
  • Facility Address: 8410 RAFAEL RIVERA WAY
    LAS VEGAS, NV
    ZIP 89113
  • Facility Phone: 702 602-5030
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: BEATRIZ AUSTIN
  • NPI Number: 1629054994
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 29D2256301
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LAS VEGAS COLLEGE MEDICAL CLINIC
Street 8410 RAFAEL RIVERA WAY
City LAS VEGAS
State NV
ZIP 89113
Phone 702 602-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director BEATRIZ AUSTIN

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