29D2161356 CLIA NUMBER - LVC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 29D2161356
  • Facility Name: LVC SURGERY CENTER LLC
  • Facility Address: 1050 S RAINBOW BLVD STE 100
    LAS VEGAS, NV
    ZIP 89145
  • Facility Phone: 702 802-3456
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER T. TRAN
  • NPI Number: 1164930491
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2161356
LAB Type Ambulatory Surgery Center
Facility Name LVC SURGERY CENTER LLC
Street 1050 S RAINBOW BLVD STE 100
City LAS VEGAS
State NV
ZIP 89145
Phone 702 802-3456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Ambulatory Surgery Center
Lab Director JENNIFER T. TRAN

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