29D2126897 CLIA NUMBER - VOGUE RECOVERY CENTER LLC

Laboratory Demographics

CLIA Number: 29D2126897

Facility Name: VOGUE RECOVERY CENTER LLC

Facility Address:
4011 MCLEOD DR
LAS VEGAS, NV
ZIP 89121
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Facility Phone Number: 702 829-6301

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1740810316

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	29D2126897
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	VOGUE RECOVERY CENTER LLC
Street	4011 MCLEOD DR
City	LAS VEGAS
State	NV
ZIP	89121
Phone	702 829-6301
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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