29D2261122 CLIA NUMBER - CHANGING MINDS LLC

Laboratory Demographics

  • CLIA Code: 29D2261122
  • Facility Name: CHANGING MINDS LLC
  • Facility Address: 2535 W CHEYENNE AVE SUITE 102
    N LAS VEGAS, NV
    ZIP 89032
  • Facility Phone: 702 405-8088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE R. VAUGHN
  • NPI Number: 1205455961
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2261122
LAB Type Physician Office
Facility Name CHANGING MINDS LLC
Street 2535 W CHEYENNE AVE SUITE 102
City N LAS VEGAS
State NV
ZIP 89032
Phone 702 405-8088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director NICOLE R. VAUGHN

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