29D2279139 CLIA NUMBER - SAGEBRUSH-FIRE MESA ID

Laboratory Demographics

  • CLIA Code: 29D2279139
  • Facility Name: SAGEBRUSH-FIRE MESA ID
  • Facility Address: 2435 FIRE MESA ST SUITE 120
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: (801) 462-1994
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJESH SONANI

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CLIA Record

Field Name Field Value
CLIA Number 29D2279139
LAB Type Physician Office
Facility Name SAGEBRUSH-FIRE MESA ID
Street 2435 FIRE MESA ST SUITE 120
City LAS VEGAS
State NV
ZIP 89128
Phone 8014621994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director RAJESH SONANI

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This page was last updated on: 6/29/2026