29D2295920 CLIA NUMBER - SPRING MOUNTAIN OCCUPATIONAL

Laboratory Demographics

  • CLIA Code: 29D2295920
  • Facility Name: SPRING MOUNTAIN OCCUPATIONAL
  • Facility Address: 6330 SPRING MOUNTAIN RD STE C
    LAS VEGAS, NV
    ZIP 89146
  • Facility Phone: (702) 899-6990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK D POLANCO
  • NPI Number: 1508286337
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2295920
LAB Type Physician Office
Facility Name SPRING MOUNTAIN OCCUPATIONAL
Street 6330 SPRING MOUNTAIN RD STE C
City LAS VEGAS
State NV
ZIP 89146
Phone 7028996990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2025
Certificate Expiration Date 12/18/2027
Facility Type Physician Office
Lab Director FRANK D POLANCO

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This page was last updated on: 5/18/2026