29D2316207 CLIA NUMBER - MARATHON HEALTH AT CENTENNIAL HILLS

Laboratory Demographics

  • CLIA Code: 29D2316207
  • Facility Name: MARATHON HEALTH AT CENTENNIAL HILLS
  • Facility Address: 6275 CENTENNIAL CENTER BLVD, SUITE 150
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE EMPLOYER HEALTH CE
  • Facility Type: Waiver
  • Lab Director: CARLOS MINJAREZ
  • NPI Number: 1588180442
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2316207
LAB Type Other - ONSITE EMPLOYER HEALTH CE
Facility Name MARATHON HEALTH AT CENTENNIAL HILLS
Street 6275 CENTENNIAL CENTER BLVD, SUITE 150
City LAS VEGAS
State NV
ZIP 89149
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Other - ONSITE EMPLOYER HEALTH CE
Lab Director CARLOS MINJAREZ

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