29D2174655 CLIA NUMBER - TRANQUIL BREEZES CARE HOME LLC

Laboratory Demographics

  • CLIA Code: 29D2174655
  • Facility Name: TRANQUIL BREEZES CARE HOME LLC
  • Facility Address: 237 PALMETTO POINTE DR
    HENDERSON, NV
    ZIP 89012
  • Facility Phone: 702 292-4764
  • Facility Type: Other - RESIDENTIAL FACILITY
  • Facility Type: Waiver
  • Lab Director: ROSALLEN M. AZVCENA
  • NPI Number: 1225675036
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2174655
LAB Type Other - RESIDENTIAL FACILITY
Facility Name TRANQUIL BREEZES CARE HOME LLC
Street 237 PALMETTO POINTE DR
City HENDERSON
State NV
ZIP 89012
Phone 702 292-4764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Other - RESIDENTIAL FACILITY
Lab Director ROSALLEN M. AZVCENA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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