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

Active since January 02, 2026
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: July 19, 2026.

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 29D2188519
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-16-2026

About IC LABS LLC

This page provides the complete NPI Profile along with additional information for Ic Labs Llc, a provider established in Henderson, Nevada operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1538025689 assigned on January 2026. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Isaac Farrell (Managing Member)

NPI
1538025689 Verify this NPI
Provider Name
IC LABS LLC
Entity Type
Organization
Location Address
1730 W HORIZON RIDGE PKWY STE 100 HENDERSON, NV 89012
Location Phone
(702) 935-3136
Location Fax
(702) 263-9390
Mailing Address
67 INCLINE VILLAGE CT HENDERSON, NV 89074
Mailing Phone
(702) 203-7799
Mailing Fax
(702) 263-9390
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2026
Last Update Date
01-02-2026
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Establishments like Ic Labs Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ISAAC FARRELL

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(702) 203-7799

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2188519
Facility Type
Physician Office
Certificate Effective Date
July 17, 2024
Certificate Expiration Date
July 16, 2026
Laboratory Director
CAROLYN A. MATZINGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ic Labs Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538025689, enumerated as an "organization" on January 02, 2026.

The provider is located at 1730 W HORIZON RIDGE PKWY STE 100 HENDERSON, NV 89012 and the phone number is (702) 935-3136.

Clinical Medical Laboratory with taxonomy code 291U00000X.