29D2134093 CLIA NUMBER - AFFECTIONATE HOSPICE CARE LLC

Laboratory Demographics

  • CLIA Code: 29D2134093
  • Facility Name: AFFECTIONATE HOSPICE CARE LLC
  • Facility Address: 1405 S MARYLAND PKWY
    LAS VEGAS, NV
    ZIP 89104
  • Facility Phone: 702 629-7308
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROY MARGALLO
  • NPI Number: 1902286354
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 29D2134093
LAB Type Hospice
Facility Name AFFECTIONATE HOSPICE CARE LLC
Street 1405 S MARYLAND PKWY
City LAS VEGAS
State NV
ZIP 89104
Phone 702 629-7308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Hospice
Lab Director ROY MARGALLO

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