29D2323157 CLIA NUMBER - HAILSTONE FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 29D2323157
  • Facility Name: HAILSTONE FAMILY PRACTICE PLLC
  • Facility Address: 9065 S PECOS RD STE 190
    HENDERSON, NV
    ZIP 89074
  • Facility Phone: 725 485-2080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRAVIS G HAILSTONE
  • NPI Number: 1437967320
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2323157
LAB Type Physician Office
Facility Name HAILSTONE FAMILY PRACTICE PLLC
Street 9065 S PECOS RD STE 190
City HENDERSON
State NV
ZIP 89074
Phone 725 485-2080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director TRAVIS G HAILSTONE

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