29D2172663 CLIA NUMBER - EMERALD HOSPICE AND LIFE

Laboratory Demographics

CLIA Number: 29D2172663

Facility Name: EMERALD HOSPICE AND LIFE

Facility Address:
1500 E TROPICANA AVE STE 127
LAS VEGAS, NV
ZIP 89119
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Facility Phone Number: 877 505-6828

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1588233969

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	29D2172663
LAB Type	Hospice
Facility Name	EMERALD HOSPICE AND LIFE
Street	1500 E TROPICANA AVE STE 127
City	LAS VEGAS
State	NV
ZIP	89119
Phone	877 505-6828
CertificateType	4
CertificateEffectiveDate	9/26/2023
CertificateExpirationDate	9/25/2025
FacilityType	Waiver

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