29D2132728 CLIA NUMBER - GUIDING LIGHT HOSPICE

Laboratory Demographics

CLIA Number: 29D2132728

Facility Name: GUIDING LIGHT HOSPICE

Facility Address:
2315 N 5TH ST
ELKO, NV
ZIP 89801
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Facility Phone Number: 775 753-6400

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1972043594

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	29D2132728
LAB Type	Hospice
Facility Name	GUIDING LIGHT HOSPICE
Street	2315 N 5TH ST
City	ELKO
State	NV
ZIP	89801
Phone	775 753-6400
CertificateType	4
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	Waiver

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