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29D2286623 CLIA NUMBER - PBPGROUP LLC DBA ALLEGIANT HOME HEALTH

Laboratory Demographics

CLIA Number: 29D2286623

Facility Name: PBPGROUP LLC DBA ALLEGIANT HOME HEALTH

Facility Address:
8930 W SUNSET RD SUITE 340
LAS VEGAS, NV
ZIP 89148
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Facility Phone Number: 725 251-5928

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1780205716

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 29D2286623
LAB Type Home Health Agency
Facility Name PBPGROUP LLC DBA ALLEGIANT HOME HEALTH
Street 8930 W SUNSET RD SUITE 340
City LAS VEGAS
State NV
ZIP 89148
Phone 725 251-5928
CertificateType 4
CertificateEffectiveDate 8/1/2023
CertificateExpirationDate 7/31/2025
FacilityType Waiver

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