29D2259892 CLIA NUMBER - PAHRUMP PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 29D2259892
  • Facility Name: PAHRUMP PEDIATRICS LLC
  • Facility Address: 2270 COMMERCIAL DR UNIT 2
    PAHRUMP, NV
    ZIP 89048
  • Facility Phone: 775 318-9300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VERONICA M. IBARRA
  • NPI Number: 1427708585
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2259892
LAB Type Practitioner Other
Facility Name PAHRUMP PEDIATRICS LLC
Street 2270 COMMERCIAL DR UNIT 2
City PAHRUMP
State NV
ZIP 89048
Phone 775 318-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Practitioner Other
Lab Director VERONICA M. IBARRA

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