29D2125532 CLIA NUMBER - OMNI CARE HOSPICE

Laboratory Demographics

CLIA Number: 29D2125532

Facility Name: OMNI CARE HOSPICE

Facility Address:
6225 DEAN MARTIN DR
LAS VEGAS, NV
ZIP 89118
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Facility Phone Number: 702 509-5276

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1679947337

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	29D2125532
LAB Type	Hospice
Facility Name	OMNI CARE HOSPICE
Street	6225 DEAN MARTIN DR
City	LAS VEGAS
State	NV
ZIP	89118
Phone	702 509-5276
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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