CLIA lab

CLIA 29D1055136: Nvhc Wic Boulder Hwy

Las Vegas, NV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 29D1055136 belongs to Nvhc Wic Boulder Hwy in Las Vegas, NV.

Certificate of Waiver, effective June 9, 2026, expires June 8, 2028.

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
June 9, 2026
Certificate expiration
June 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 9, 2006
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
9

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
29D1055136
Lab name
Nvhc Wic Boulder Hwy
Address
5486 Boulder Hwy Ste 102, Las Vegas, NV 89122
Phone
(702) 220-9929
Fax
(702) 433-7823

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Las Vegas, NV

Related

Questions

What is the CLIA number for Nvhc Wic Boulder Hwy in Las Vegas?

29D1055136, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nvhc Wic Boulder Hwy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 29D1055136 expire?

The CMS file lists June 8, 2028 as the certificate expiration date; the certificate took effect June 9, 2026.

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