29D2301576 CLIA NUMBER - SUMMERLIN SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 29D2301576
  • Facility Name: SUMMERLIN SENIOR LIVING
  • Facility Address: 10376 STANBERRY AVE
    LAS VEGAS, NV
    ZIP 89135
  • Facility Phone: 702 417-9757
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOHANA M. LANDAHL
  • NPI Number: 1033743083
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 29D2301576
LAB Type Assisted Living Facility
Facility Name SUMMERLIN SENIOR LIVING
Street 10376 STANBERRY AVE
City LAS VEGAS
State NV
ZIP 89135
Phone 702 417-9757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Assisted Living Facility
Lab Director JOHANA M. LANDAHL

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