29D2136428 CLIA NUMBER - CANYON HOME CARE & HOSPICE

Laboratory Demographics

  • CLIA Code: 29D2136428
  • Facility Name: CANYON HOME CARE & HOSPICE
  • Facility Address: 3100 NEEDLES HWY, STE 500
    LAUGHLIN, NV
    ZIP 89029
  • Facility Phone: 702 868-1400
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: THOMAS G DALLMAN
  • NPI Number: 1558909390
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 29D2136428
LAB Type Hospice
Facility Name CANYON HOME CARE & HOSPICE
Street 3100 NEEDLES HWY, STE 500
City LAUGHLIN
State NV
ZIP 89029
Phone 702 868-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Hospice
Lab Director THOMAS G DALLMAN

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