29D2264587 CLIA NUMBER - CENTENNIAL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 29D2264587
  • Facility Name: CENTENNIAL DIALYSIS CENTER
  • Facility Address: 8775 W DEER SPRINGS WAY
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 395-2488
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PHILLIP RIBEIRO
  • NPI Number: 1639350804
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2264587
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTENNIAL DIALYSIS CENTER
Street 8775 W DEER SPRINGS WAY
City LAS VEGAS
State NV
ZIP 89149
Phone 702 395-2488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PHILLIP RIBEIRO

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