29D2263336 CLIA NUMBER - SAHARA DIALYSIS

Laboratory Demographics

CLIA Number: 29D2263336

Facility Name: SAHARA DIALYSIS

Facility Address:
2350 STOCKTON AVE
LAS VEGAS, NV
ZIP 89104
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Facility Phone Number: 702 457-7099

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1528629805

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D2263336
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SAHARA DIALYSIS
Street	2350 STOCKTON AVE
City	LAS VEGAS
State	NV
ZIP	89104
Phone	702 457-7099
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024