29D1073275 CLIA NUMBER - GREEN VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 29D1073275
  • Facility Name: GREEN VALLEY DIALYSIS
  • Facility Address: 1489 W WARM SPRINGS RD STE 122
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 702 450-8877
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DEEPAK NANDIKANTI
  • NPI Number: 1245430446
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D1073275
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREEN VALLEY DIALYSIS
Street 1489 W WARM SPRINGS RD STE 122
City HENDERSON
State NV
ZIP 89014
Phone 702 450-8877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DEEPAK NANDIKANTI

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