29D0926055 CLIA NUMBER - SUNRISE FLAMINGO SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 29D0926055
  • Facility Name: SUNRISE FLAMINGO SURGERY CENTER, LLC
  • Facility Address: 2565 E FLAMINGO RD
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: 702 697-7900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAJENDRAKUMAR INGLE
  • NPI Number: 1477736361
  • Taxonomy: 111N00000X - Chiropractor

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Ambulatory Surgery Center
Lab Director RAJENDRAKUMAR INGLE

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This page was last updated on: 9/29/2025