29D2189013 CLIA NUMBER - TRELLIS PARADISE

Laboratory Demographics

  • CLIA Code: 29D2189013
  • Facility Name: TRELLIS PARADISE
  • Facility Address: 4375 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 916-1290
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN D. GARRISON
  • NPI Number: 1891133674
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2189013
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRELLIS PARADISE
Street 4375 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89119
Phone 702 916-1290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOHN D. GARRISON

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