29D2271051 CLIA NUMBER - MOHAVE DERMATOLOGY - VEGAS

Laboratory Demographics

  • CLIA Code: 29D2271051
  • Facility Name: MOHAVE DERMATOLOGY - VEGAS
  • Facility Address: 3975 S DURANGO DR, STE 107
    LAS VEGAS, NV
    ZIP 89147
  • Facility Phone: 702 628-5333
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JALDEEP H. DAULAT
  • NPI Number: 1194268987
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2271051
LAB Type Physician Office
Facility Name MOHAVE DERMATOLOGY - VEGAS
Street 3975 S DURANGO DR, STE 107
City LAS VEGAS
State NV
ZIP 89147
Phone 702 628-5333
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director JALDEEP H. DAULAT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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