29D2296601 CLIA NUMBER - EVOLVE GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 29D2296601
  • Facility Name: EVOLVE GYNECOLOGY
  • Facility Address: 851 S RAMPART BLVD, STE 260
    LAS VEGAS, NV
    ZIP 89145
  • Facility Phone: 702 813-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONI HODGES
  • NPI Number: 1194426296
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 29D2296601
LAB Type Physician Office
Facility Name EVOLVE GYNECOLOGY
Street 851 S RAMPART BLVD, STE 260
City LAS VEGAS
State NV
ZIP 89145
Phone 702 813-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director TONI HODGES

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