29D2056954 CLIA NUMBER - HOSPICE DEL SOL LLC

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Laboratory Demographics

CLIA Number: 29D2056954

Facility Name: HOSPICE DEL SOL LLC

Facility Address:
3634 N RANCHO DR
LAS VEGAS, NV
ZIP 89130
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Facility Phone Number: 702 818-4270

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1568643799

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	29D2056954
LAB Type	Hospice
Facility Name	HOSPICE DEL SOL LLC
Street	3634 N RANCHO DR
City	LAS VEGAS
State	NV
ZIP	89130
Phone	702 818-4270
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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