29D2304111 CLIA NUMBER - ACNM

Laboratory Demographics

  • CLIA Code: 29D2304111
  • Facility Name: ACNM
  • Facility Address: 4560 S EASTERN AVE SUITE 14
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 751-3336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY CHARMAINE CAMPANA
  • NPI Number: 1790558377
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2304111
LAB Type Physician Office
Facility Name ACNM
Street 4560 S EASTERN AVE SUITE 14
City LAS VEGAS
State NV
ZIP 89119
Phone 702 751-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director MARY CHARMAINE CAMPANA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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