29D2269760 CLIA NUMBER - FORT APACHE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 29D2269760
  • Facility Name: FORT APACHE SURGERY CENTER, LLC
  • Facility Address: 6064 S FORT APACHE RD STE 110
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 702 940-8050
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW HALL
  • NPI Number: 1780346346
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2269760
LAB Type Ambulatory Surgery Center
Facility Name FORT APACHE SURGERY CENTER, LLC
Street 6064 S FORT APACHE RD STE 110
City LAS VEGAS
State NV
ZIP 89148
Phone 702 940-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Ambulatory Surgery Center
Lab Director ANDREW HALL

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