29D2313630 CLIA NUMBER - MONARCH GROUP HOME LLC

Laboratory Demographics

  • CLIA Code: 29D2313630
  • Facility Name: MONARCH GROUP HOME LLC
  • Facility Address: 6112 FISHER AVE
    LAS VEGAS, NV
    ZIP 89130
  • Facility Phone: 702 750-8938
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER M. JACALNE
  • NPI Number: 1134820194
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D2313630
LAB Type Assisted Living Facility
Facility Name MONARCH GROUP HOME LLC
Street 6112 FISHER AVE
City LAS VEGAS
State NV
ZIP 89130
Phone 702 750-8938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Assisted Living Facility
Lab Director HEATHER M. JACALNE

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