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29D2141385 CLIA NUMBER - CHRISTIAN HOSPICE LLC

Laboratory Demographics

CLIA Number: 29D2141385

Facility Name: CHRISTIAN HOSPICE LLC

Facility Address:
5523 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119
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Facility Phone Number: 702 331-9111

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1053979799

Taxonomy: 3747P1801X - Technician
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

CLIA Record

Field Name Field Value
CLIA Number 29D2141385
LAB Type Hospice
Facility Name CHRISTIAN HOSPICE LLC
Street 5523 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89119
Phone 702 331-9111
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