29D2075978 CLIA NUMBER - 215 SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 29D2075978
  • Facility Name: 215 SURGERY CENTER, LLC
  • Facility Address: 6120 S FORT APACHE RD SUITE 200
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 702 948-8894
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEREMY M. LIPSHUTZ
  • NPI Number: 1629492137
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2075978
LAB Type Ambulatory Surgery Center
Facility Name 215 SURGERY CENTER, LLC
Street 6120 S FORT APACHE RD SUITE 200
City LAS VEGAS
State NV
ZIP 89148
Phone 702 948-8894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Ambulatory Surgery Center
Lab Director JEREMY M. LIPSHUTZ

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