32D2019117 CLIA NUMBER - LAS VEGAS VA CLINIC

Laboratory Demographics

  • CLIA Code: 32D2019117
  • Facility Name: LAS VEGAS VA CLINIC
  • Facility Address: 624 UNIVERSITY AVENUE
    LAS VEGAS, NM
    ZIP 87701
  • Facility Phone: 469 634-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANKLIN MCDONALD
  • NPI Number: 1730194499
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 32D2019117
LAB Type Physician Office
Facility Name LAS VEGAS VA CLINIC
Street 624 UNIVERSITY AVENUE
City LAS VEGAS
State NM
ZIP 87701
Phone 469 634-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director FRANKLIN MCDONALD

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