29D2165654 CLIA NUMBER - TRELLIS CENTENNIAL

Laboratory Demographics

  • CLIA Code: 29D2165654
  • Facility Name: TRELLIS CENTENNIAL
  • Facility Address: 8565 W ROME BLVD
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 982-8555
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHIVANA CHOPRA
  • NPI Number: 1932664158
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2165654
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRELLIS CENTENNIAL
Street 8565 W ROME BLVD
City LAS VEGAS
State NV
ZIP 89149
Phone 702 982-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHIVANA CHOPRA

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