CLIA lab

CLIA 29D2264109: El Dorado Modern Dentistry

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

CLIA number 29D2264109 belongs to El Dorado Modern Dentistry in North Las Vegas, NV.

Certificate of Waiver, effective July 11, 2026, expires July 10, 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
July 11, 2026
Certificate expiration
July 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 11, 2022
Facility type
Other practitioner
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
29D2264109
Lab name
El Dorado Modern Dentistry
Address
5514 Camino Al Norte, Ste A2, North Las Vegas, NV 89031
Phone
(702) 827-1352
Fax
(949) 250-0510

Annual test volume the lab reported

Waived tests
200

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

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Related

Questions

What is the CLIA number for El Dorado Modern Dentistry in North Las Vegas?

29D2264109, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does El Dorado Modern Dentistry hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 29D2264109 expire?

The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.

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