29D2262349 CLIA NUMBER - MORE THAN MEDICAL WELLNESS

Laboratory Demographics

CLIA Number: 29D2262349

Facility Name: MORE THAN MEDICAL WELLNESS

Facility Address:
5875 S RAINBOW BLVD #202
LAS VEGAS, NV
ZIP 89118
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Facility Phone Number: 702 465-7471

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780347484

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 29D2262349
LAB Type Physician Office
Facility Name MORE THAN MEDICAL WELLNESS
Street 5875 S RAINBOW BLVD #202
City LAS VEGAS
State NV
ZIP 89118
Phone 702 465-7471
CertificateType 4
CertificateEffectiveDate 6/13/2022
CertificateExpirationDate 6/12/2024
FacilityType Waiver

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