29D2148264 CLIA NUMBER - SENIOR RESIDENTIAL CARE-CENTENNIAL/CABIN SPRINGS

Laboratory Demographics

  • CLIA Code: 29D2148264
  • Facility Name: SENIOR RESIDENTIAL CARE-CENTENNIAL/CABIN SPRINGS
  • Facility Address: 8204 CABIN SPRINGS AVE
    LAS VEGAS, NV
    ZIP 89131
  • Facility Phone: 702 325-5355
  • Facility Type: Other - RESIDENTIAL FAC FOR GROUP
  • Facility Type: Waiver
  • Lab Director: BEATRICE SHIMADA
  • NPI Number: 1841658515
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2148264
LAB Type Other - RESIDENTIAL FAC FOR GROUP
Facility Name SENIOR RESIDENTIAL CARE-CENTENNIAL/CABIN SPRINGS
Street 8204 CABIN SPRINGS AVE
City LAS VEGAS
State NV
ZIP 89131
Phone 702 325-5355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Other - RESIDENTIAL FAC FOR GROUP
Lab Director BEATRICE SHIMADA

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