29D2258387 CLIA NUMBER - INFECTIOUS DISEASE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 29D2258387
  • Facility Name: INFECTIOUS DISEASE ASSOCIATES
  • Facility Address: 6088 S DURANGO DRIVE STE 100
    LAS VEGAS, NV
    ZIP 89113
  • Facility Phone: 702 380-4242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALKA REBENTISH
  • NPI Number: 1386721157
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2258387
LAB Type Physician Office
Facility Name INFECTIOUS DISEASE ASSOCIATES
Street 6088 S DURANGO DRIVE STE 100
City LAS VEGAS
State NV
ZIP 89113
Phone 702 380-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director ALKA REBENTISH

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