29D2166752 CLIA NUMBER - GENESIS HOSPICE CARE

Laboratory Demographics

CLIA Number: 29D2166752

Facility Name: GENESIS HOSPICE CARE

Facility Address:
2840 E FLAMINGO RD UNIT D
LAS VEGAS, NV
ZIP 89121
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Facility Phone Number: 725 605-5355

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1811459233

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	29D2166752
LAB Type	Hospice
Facility Name	GENESIS HOSPICE CARE
Street	2840 E FLAMINGO RD UNIT D
City	LAS VEGAS
State	NV
ZIP	89121
Phone	725 605-5355
CertificateType	4
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	Waiver

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