29D2178605 CLIA NUMBER - A & J CARE HOME

Laboratory Demographics

  • CLIA Code: 29D2178605
  • Facility Name: A & J CARE HOME
  • Facility Address: 5217 W GOWAN RD
    LAS VEGAS, NV
    ZIP 89130
  • Facility Phone: 702 645-2291
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEAN M. TIMBOL
  • NPI Number: 1790987899
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2178605
LAB Type Assisted Living Facility
Facility Name A & J CARE HOME
Street 5217 W GOWAN RD
City LAS VEGAS
State NV
ZIP 89130
Phone 702 645-2291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Assisted Living Facility
Lab Director JEAN M. TIMBOL

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