CLIA lab

CLIA 29D1097817: Centennial Medical Group Llp-N Decatur

Las Vegas, NV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 29D1097817 belongs to Centennial Medical Group Llp-N Decatur in Las Vegas, NV.

Certificate of Waiver, effective April 3, 2025, expires April 2, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 3, 2025
Certificate expiration
April 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 3, 2009
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
29D1097817
Lab name
Centennial Medical Group Llp-N Decatur
Address
4454 N Decatur Blvd, Las Vegas, NV 89130
Phone
(702) 839-1203
Fax
(702) 839-1301

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Las Vegas, NV

Related

Questions

What is the CLIA number for Centennial Medical Group Llp-N Decatur in Las Vegas?

29D1097817, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Centennial Medical Group Llp-N Decatur hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 29D1097817 expire?

The CMS file lists April 2, 2027 as the certificate expiration date; the certificate took effect April 3, 2025.

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