29D2290099 CLIA NUMBER - INCREDICARE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 29D2290099
  • Facility Name: INCREDICARE PEDIATRICS LLC
  • Facility Address: 187 ELDER VIEW DR
    LAS VEGAS, NV
    ZIP 89138
  • Facility Phone: 725 867-8144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT WILKINSON
  • NPI Number: 1912684176
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2290099
LAB Type Physician Office
Facility Name INCREDICARE PEDIATRICS LLC
Street 187 ELDER VIEW DR
City LAS VEGAS
State NV
ZIP 89138
Phone 725 867-8144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director ROBERT WILKINSON

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