CLIA lab
CLIA 29D1010709: Mavis N Matsumoto, MD, LLC
Henderson, NV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 29D1010709 belongs to Mavis N Matsumoto, MD, LLC in Henderson, NV.
Certificate of Waiver, effective March 21, 2025, expires March 20, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 21, 2025
- Certificate expiration
- March 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 21, 2003
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 29D1010709
- Lab name
- Mavis N Matsumoto, MD, LLC
- Address
- 2780 Horizon Ridge Pkwy Ste 30, Henderson, NV 89052
- Phone
- (702) 992-4050
- Fax
- (702) 992-4052
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Academic Dermatology of NevadaCertificate of Compliance, Physician office29D0957281
- Accord Home Health, IncCertificate of Waiver, Home health agency29D2319552
- Accurate Health DXCertificate of Waiver, Mobile lab29D2318148
- Addis Advanced Medical Associates, LLCCertificate of Waiver, Physician office29D2340871
- Advanced Home CareCertificate of Waiver, Home health agency29D2035003
- Advanced Pain MGT & Family Care AssocCertificate of Waiver, Physician office29D0999272
- Advanced Pain Management CenterCertificate of Compliance, Physician office29D2036690
- Advancemed Clinical Research LLCCertificate of Waiver, Physician office29D2117208
Related
Questions
What is the CLIA number for Mavis N Matsumoto, MD, LLC in Henderson?
29D1010709, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mavis N Matsumoto, MD, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 29D1010709 expire?
The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.