29D2223779 CLIA NUMBER - TLC COSTA BRAVA

Laboratory Demographics

  • CLIA Code: 29D2223779
  • Facility Name: TLC COSTA BRAVA
  • Facility Address: 6737 COSTA BRAVA RD
    LAS VEGAS, NV
    ZIP 89146
  • Facility Phone: 702 228-1770
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DORA VALENTIN
  • NPI Number: 1215602073
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2223779
LAB Type Assisted Living Facility
Facility Name TLC COSTA BRAVA
Street 6737 COSTA BRAVA RD
City LAS VEGAS
State NV
ZIP 89146
Phone 702 228-1770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Assisted Living Facility
Lab Director DORA VALENTIN

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