29D1083213 CLIA NUMBER - STONECREEK SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 29D1083213
  • Facility Name: STONECREEK SURGERY CENTER LLC
  • Facility Address: 5915 S RAINBOW BLVD STE 108
    LAS VEGAS, NV
    ZIP 89118
  • Facility Phone: 702 227-7959
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: OMAR KHAN
  • NPI Number: 1417114166
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D1083213
LAB Type Ambulatory Surgery Center
Facility Name STONECREEK SURGERY CENTER LLC
Street 5915 S RAINBOW BLVD STE 108
City LAS VEGAS
State NV
ZIP 89118
Phone 702 227-7959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Ambulatory Surgery Center
Lab Director OMAR KHAN

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