29D2277069 CLIA NUMBER - HUALAPAI AMBULATORY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 29D2277069
  • Facility Name: HUALAPAI AMBULATORY SURGERY CENTER, LLC
  • Facility Address: 10195 WEST TWAIN AVENUE, SUITE 100
    LAS VEGAS, NV
    ZIP 89147
  • Facility Phone: 702 430-7591
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JULIE K. WOODWARD
  • NPI Number: 1386004018
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2277069
LAB Type Ambulatory Surgery Center
Facility Name HUALAPAI AMBULATORY SURGERY CENTER, LLC
Street 10195 WEST TWAIN AVENUE, SUITE 100
City LAS VEGAS
State NV
ZIP 89147
Phone 702 430-7591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Ambulatory Surgery Center
Lab Director JULIE K. WOODWARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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