29D1029994 CLIA NUMBER - ALTA ROSE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 29D1029994
  • Facility Name: ALTA ROSE SURGERY CENTER
  • Facility Address: 501 S ROSE STREET, SUITE 110
    LAS VEGAS, NV
    ZIP 89106
  • Facility Phone: 702 386-9906
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KSENIA A. STAFEEVA
  • NPI Number: 1841259611
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D1029994
LAB Type Ambulatory Surgery Center
Facility Name ALTA ROSE SURGERY CENTER
Street 501 S ROSE STREET, SUITE 110
City LAS VEGAS
State NV
ZIP 89106
Phone 702 386-9906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Ambulatory Surgery Center
Lab Director KSENIA A. STAFEEVA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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