29D2106946 CLIA NUMBER - LV SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 29D2106946
  • Facility Name: LV SURGERY CENTER LLC
  • Facility Address: 7315 S PECOS RD STE 103
    LAS VEGAS, NV
    ZIP 89120
  • Facility Phone: 702 855-0550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NOEL F. FAJARDO
  • NPI Number: 1225414246
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2106946
LAB Type Ambulatory Surgery Center
Facility Name LV SURGERY CENTER LLC
Street 7315 S PECOS RD STE 103
City LAS VEGAS
State NV
ZIP 89120
Phone 702 855-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Ambulatory Surgery Center
Lab Director NOEL F. FAJARDO

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