29D2305045 CLIA NUMBER - VUTHOORI MD CORP D/B/A OFFICIUM HEALTH

Laboratory Demographics

  • CLIA Code: 29D2305045
  • Facility Name: VUTHOORI MD CORP D/B/A OFFICIUM HEALTH
  • Facility Address: 3061 S MARYLAND PKWY STE 202
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: 760 350-2498
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRINIVAS VUTHOORI
  • NPI Number: 1952160897
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2305045
LAB Type Physician Office
Facility Name VUTHOORI MD CORP D/B/A OFFICIUM HEALTH
Street 3061 S MARYLAND PKWY STE 202
City LAS VEGAS
State NV
ZIP 89109
Phone 760 350-2498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director SRINIVAS VUTHOORI

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