29D2287086 CLIA NUMBER - LAS VEGAS UROLOGY

Laboratory Demographics

  • CLIA Code: 29D2287086
  • Facility Name: LAS VEGAS UROLOGY
  • Facility Address: 3150 N TENAYA STE 480
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: 702 241-7377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR E GRIGORIEV
  • NPI Number: 1891852810
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2287086
LAB Type Physician Office
Facility Name LAS VEGAS UROLOGY
Street 3150 N TENAYA STE 480
City LAS VEGAS
State NV
ZIP 89128
Phone 702 241-7377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2023
Certificate Expiration Date 8/7/2025
Facility Type Physician Office
Lab Director VICTOR E GRIGORIEV

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This page was last updated on: 3/20/2025