29D2272720 CLIA NUMBER - SIERRA SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 29D2272720
  • Facility Name: SIERRA SURGERY CENTER, LLC
  • Facility Address: 5824 S DURANGO DR SUITE 130
    LAS VEGAS, NV
    ZIP 89113
  • Facility Phone: 725 600-9333
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER RUSSELL COSTA
  • NPI Number: 1669180659
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 29D2272720
LAB Type Ambulatory Surgery Center
Facility Name SIERRA SURGERY CENTER, LLC
Street 5824 S DURANGO DR SUITE 130
City LAS VEGAS
State NV
ZIP 89113
Phone 725 600-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER RUSSELL COSTA

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