LAS VEGAS OUTREACH CLINIC
NPI 1497939284
Pharmacy - Clinic Pharmacy in N Las Vegas, NV

Active since December 28, 2007CLIA 29D0978682 · Waiver
47 W OWENS AVE, N LAS VEGAS, NV 89030(702) 307-4635(702) 307-4631 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Las Vegas Outreach Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAS VEGAS OUTREACH CLINIC (NPI 1497939284) is a healthcare organization registered as a clinic pharmacy in N Las Vegas, Nevada and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Stephanie Ingrey, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1497939284
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameNEVADA HEALTH CENTERS, INC.
Location Address47 W OWENS AVEN Las Vegas, NV 89030-6865
Mailing Address1802 N Carson St Ste 100Carson City, NV 89701-1227 · (775) 888-6610 · Fax (775) 887-7046
Fax(702) 307-4631
Organization SubpartNo
Authorized OfficialStephanie IngreyPharmacist · (775) 888-6610
Enumeration DateDecember 28, 2007
NPI 1497939284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in NV · PH1212
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
47 W OWENS AVE, N Las Vegas, NV 89030

Other Names 1

Doing Business AsLas Vegas Outreach Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D0978682

Las Vegas Outreach Clinic · Las Vegas, NV
Active · expires Oct 7, 2027
CLIA Number29D0978682
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDarren A. Rahaman
Laboratory Phone(702) 307-4635
Laboratory LocationLas Vegas Outreach Clinic1450 N Main St, Las Vegas, NV 89101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
47 W OWENS AVE
NORTH LAS VEGAS, NV 89030
Physician Assistant
47 W OWENS AVE
NORTH LAS VEGAS, NV 89030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nevada Health Centers, Inc.'s NPI number?

The NPI number for Nevada Health Centers, Inc. is 1497939284. It was assigned to this organization in the NPPES registry on December 28, 2007. The provider is doing business as Las Vegas Outreach Clinic.

Where is Nevada Health Centers, Inc. located?

Nevada Health Centers, Inc. is located at 47 W Owens Ave, N Las Vegas, NV 89030. The listed phone number is (702) 307-4635.

What is Nevada Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Nevada Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0978682) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nevada Health Centers, Inc. was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.