29D2317635 CLIA NUMBER - GENERATIONAL HEALTH CARE

Laboratory Demographics

  • CLIA Code: 29D2317635
  • Facility Name: GENERATIONAL HEALTH CARE
  • Facility Address: 8905 W POST ROAD, SUITE 110
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 725 253-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARON Y GRAVES-JOHNSON
  • NPI Number: 1063198588
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2317635
LAB Type Physician Office
Facility Name GENERATIONAL HEALTH CARE
Street 8905 W POST ROAD, SUITE 110
City LAS VEGAS
State NV
ZIP 89148
Phone 725 253-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director SHARON Y GRAVES-JOHNSON

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