29D2171448 CLIA NUMBER - AZURA SURGERY CENTER LAS VEGAS

Laboratory Demographics

  • CLIA Code: 29D2171448
  • Facility Name: AZURA SURGERY CENTER LAS VEGAS
  • Facility Address: 2450 FIRE MESA ST STE 100
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: 702 341-8031
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SUNDAR SANKARAN
  • NPI Number: 1780140772
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2171448
LAB Type Ambulatory Surgery Center
Facility Name AZURA SURGERY CENTER LAS VEGAS
Street 2450 FIRE MESA ST STE 100
City LAS VEGAS
State NV
ZIP 89128
Phone 702 341-8031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Ambulatory Surgery Center
Lab Director SUNDAR SANKARAN

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