29D2310792 CLIA NUMBER - LAS VENTANAS RETIREMENT COMMUNITY-AGC

Laboratory Demographics

  • CLIA Code: 29D2310792
  • Facility Name: LAS VENTANAS RETIREMENT COMMUNITY-AGC
  • Facility Address: 10401 W CHARLESTON BLVD
    LAS VEGAS, NV
    ZIP 89135
  • Facility Phone: 702 207-4230
  • Facility Type: Other - RESIDENTIAL FACILITY FOR
  • Facility Type: Waiver
  • Lab Director: MIKE JEONG
  • NPI Number: 1871674879
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2310792
LAB Type Other - RESIDENTIAL FACILITY FOR
Facility Name LAS VENTANAS RETIREMENT COMMUNITY-AGC
Street 10401 W CHARLESTON BLVD
City LAS VEGAS
State NV
ZIP 89135
Phone 702 207-4230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Other - RESIDENTIAL FACILITY FOR
Lab Director MIKE JEONG

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