IC LABS LLC
NPI 1538025689
Clinical Medical Laboratory in Henderson, NV

Active since January 02, 2026CLIA 29D2188519 · Waiver
1730 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012(702) 935-3136(702) 263-9390 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ic Labs Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IC LABS LLC (NPI 1538025689) is a healthcare organization registered as a clinical medical laboratory in Henderson, Nevada and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Isaac Farrell, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1538025689
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameIC LABS LLC
Location Address1730 W HORIZON RIDGE PKWY STE 100Henderson, NV 89012-1000
Mailing Address67 Incline Village CtHenderson, NV 89074-0694 · (702) 203-7799 · Fax (702) 263-9390
Fax(702) 263-9390
Organization SubpartNo
Authorized OfficialIsaac FarrellManaging Member · (702) 203-7799
Enumeration DateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
NPI 1538025689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1730 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89012

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2188519

Ic Labs · Henderson, NV
Active · expires Jul 16, 2028
CLIA Number29D2188519
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorCarolyn A. Matzinger
Laboratory Phone(702) 935-3136
Laboratory LocationIc Labs1730 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1730 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89012
Internal Medicine
1730 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89012
Hospitalist
1730 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89012
Internal Medicine
1730 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ic Labs LLC's NPI number?

The NPI number for Ic Labs LLC is 1538025689. It was assigned to this organization in the NPPES registry on January 2, 2026.

Where is Ic Labs LLC located?

Ic Labs LLC is located at 1730 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89012. The listed phone number is (702) 935-3136.

What is Ic Labs LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Ic Labs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2188519) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ic Labs LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.