29D2092687 CLIA NUMBER - CANYON VISTA POST ACUTE

Laboratory Demographics

  • CLIA Code: 29D2092687
  • Facility Name: CANYON VISTA POST ACUTE
  • Facility Address: 6352 MEDICAL CENTER ST
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 702 541-6200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFFERY OLSEN
  • NPI Number: 1447660618
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2092687
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CANYON VISTA POST ACUTE
Street 6352 MEDICAL CENTER ST
City LAS VEGAS
State NV
ZIP 89148
Phone 702 541-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFFERY OLSEN

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