29D2197212 CLIA NUMBER - GOLDEN HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 29D2197212
  • Facility Name: GOLDEN HOME CARE LLC
  • Facility Address: 3530 E FLAMINGO RD STE 101
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: 702 476-3399
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRIAN E. LEE
  • NPI Number: 1992275184
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 29D2197212
LAB Type Home Health Agency
Facility Name GOLDEN HOME CARE LLC
Street 3530 E FLAMINGO RD STE 101
City LAS VEGAS
State NV
ZIP 89121
Phone 702 476-3399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Home Health Agency
Lab Director BRIAN E. LEE

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