29D0926055 CLIA NUMBER - SUNRISE FLAMINGO SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 29D0926055

Facility Name: SUNRISE FLAMINGO SURGERY CENTER, LLC

Facility Address:
2565 E FLAMINGO RD
LAS VEGAS, NV
ZIP 89121
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Facility Phone Number: 702 697-7900

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1477736361

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	29D0926055
LAB Type	Ambulatory Surgery Center
Facility Name	SUNRISE FLAMINGO SURGERY CENTER, LLC
Street	2565 E FLAMINGO RD
City	LAS VEGAS
State	NV
ZIP	89121
Phone	702 697-7900
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024