29D2198653 CLIA NUMBER - SHININGLIGHT HOSPICE

Laboratory Demographics

  • CLIA Code: 29D2198653
  • Facility Name: SHININGLIGHT HOSPICE
  • Facility Address: 3265 N FORT APACHE RD
    LAS VEGAS, NV
    ZIP 89129
  • Facility Phone: 702 906-0044
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHAHAB MOKHTARE
  • NPI Number: 1801481676
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 29D2198653
LAB Type Hospice
Facility Name SHININGLIGHT HOSPICE
Street 3265 N FORT APACHE RD
City LAS VEGAS
State NV
ZIP 89129
Phone 702 906-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Hospice
Lab Director SHAHAB MOKHTARE

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