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29D2141370 CLIA NUMBER - SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV

Laboratory Demographics

CLIA Number: 29D2141370

Facility Name: SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV

Facility Address:
3161 E WARM SPRINGS RD STE 400
LAS VEGAS, NV
ZIP 89120
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Facility Phone Number: 702 982-3292

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1780101378

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 29D2141370
LAB Type Home Health Agency
Facility Name SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV
Street 3161 E WARM SPRINGS RD STE 400
City LAS VEGAS
State NV
ZIP 89120
Phone 702 982-3292
CertificateType 4
CertificateEffectiveDate 12/12/2023
CertificateExpirationDate 12/11/2025
FacilityType Waiver

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