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29D2035003 CLIA NUMBER - ADVANCED HOME CARE

Laboratory Demographics

CLIA Number: 29D2035003

Facility Name: ADVANCED HOME CARE

Facility Address:
5840 W SUNSET RD
LAS VEGAS, NV
ZIP 89118
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Facility Phone Number: 702 967-6160

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1154620136

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 29D2035003
LAB Type Home Health Agency
Facility Name ADVANCED HOME CARE
Street 5840 W SUNSET RD
City LAS VEGAS
State NV
ZIP 89118
Phone 702 967-6160
CertificateType 4
CertificateEffectiveDate 1/9/2024
CertificateExpirationDate 1/8/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024