29D2262689 CLIA NUMBER - CORONADO HEALTH DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 29D2262689
  • Facility Name: CORONADO HEALTH DIRECT PRIMARY CARE
  • Facility Address: 3007 W HORIZON RIDGE PKWY STE 100
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 407 923-8412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARPREET K TSUI
  • NPI Number: 1235363987
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2262689
LAB Type Physician Office
Facility Name CORONADO HEALTH DIRECT PRIMARY CARE
Street 3007 W HORIZON RIDGE PKWY STE 100
City HENDERSON
State NV
ZIP 89052
Phone 407 923-8412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director HARPREET K TSUI

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