29D1102573 CLIA NUMBER - PREMIUM SURGICAL SERVICES CENTER

Laboratory Demographics

  • CLIA Code: 29D1102573
  • Facility Name: PREMIUM SURGICAL SERVICES CENTER
  • Facility Address: 8954 SPANISH RIDGE AVE
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 702 221-9374
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FRANK L. STILE
  • NPI Number: 1922332774
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D1102573
LAB Type Ambulatory Surgery Center
Facility Name PREMIUM SURGICAL SERVICES CENTER
Street 8954 SPANISH RIDGE AVE
City LAS VEGAS
State NV
ZIP 89148
Phone 702 221-9374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Ambulatory Surgery Center
Lab Director FRANK L. STILE

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