29D1093855 CLIA NUMBER - AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 29D1093855
  • Facility Name: AVEANNA HEALTHCARE
  • Facility Address: 4040 S EASTERN AVE STE 300
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 463-0300
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CRAIG T. NAKAMURA
  • NPI Number: 1598901100
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 29D1093855
LAB Type Home Health Agency
Facility Name AVEANNA HEALTHCARE
Street 4040 S EASTERN AVE STE 300
City LAS VEGAS
State NV
ZIP 89119
Phone 702 463-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Home Health Agency
Lab Director CRAIG T. NAKAMURA

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