29D2136428 CLIA NUMBER - CANYON HOME CARE & HOSPICE

Laboratory Demographics

CLIA Number: 29D2136428

Facility Name: CANYON HOME CARE & HOSPICE

Facility Address:
3100 NEEDLES HIGHWAY, STE 600
LAUGHLIN, NV
ZIP 89029
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Facility Phone Number: 702 868-1400

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1558909390

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 29D2136428
LAB Type Hospice
Facility Name CANYON HOME CARE & HOSPICE
Street 3100 NEEDLES HIGHWAY, STE 600
City LAUGHLIN
State NV
ZIP 89029
Phone 702 868-1400
CertificateType 4
CertificateEffectiveDate 9/8/2023
CertificateExpirationDate 9/7/2025
FacilityType Waiver

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