Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
29D2016142
|
|
Clinical laboratory number
|
|
Lab Name
|
DESERT TREATMENT CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Other - METHADONE CLINIC
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
702-248-0000
|
|
Laboratory telephone number
|
|
Fax
|
702-933-5545
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2598 WINDMILL PKWY, STE 100
|
|
Primary location adress line
|
|
City
|
HENDERSON
|
|
Primary location city name
|
|
State
|
NV
|
|
Primary location state name
|
|
Zip
|
89074
|
|
Primary location postal code
|