29D2316821 CLIA NUMBER - CITI MED

Laboratory Demographics

  • CLIA Code: 29D2316821
  • Facility Name: CITI MED
  • Facility Address: 5440 W SAHARA AVE STE 202
    LAS VEGAS, NV
    ZIP 89146
  • Facility Phone: 702 602-5106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT H ODELL
  • NPI Number: 1417646860
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 29D2316821
LAB Type Physician Office
Facility Name CITI MED
Street 5440 W SAHARA AVE STE 202
City LAS VEGAS
State NV
ZIP 89146
Phone 702 602-5106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director ROBERT H ODELL

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