29D2163728 CLIA NUMBER - SUNSET PAIN SURGERY CENTER

Laboratory Demographics

CLIA Number: 29D2163728

Facility Name: SUNSET PAIN SURGERY CENTER

Facility Address:
9120 W RUSSELL RD UNIT 100
LAS VEGAS, NV
ZIP 89148
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Facility Phone Number: 702 262-0079

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1821560434

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D2163728
LAB Type	Ambulatory Surgery Center
Facility Name	SUNSET PAIN SURGERY CENTER
Street	9120 W RUSSELL RD UNIT 100
City	LAS VEGAS
State	NV
ZIP	89148
Phone	702 262-0079
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

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