Below is information on Office-Based Surgery (OBS) rules, regulations and accreditation requirements for [state]. This is information only. Rules change often. Please confirm with your state regulators the current status and requirements for an office-based surgical suite. Last Updated 2021.
Local Anesthesia is Excluded. Regulations (3 pages) for conscious sedation / deep sedation or general anesthesia – (local is not referenced). Reference is for In-Office Surgery.
https://www.leg.state.nv.us/NRS/NRS-449.html#NRS449Sec435
https://medboard.nv.gov/Forms/In-Office_Surgery/
https://www.leg.state.nv.us/nrs/nrs-633.html#NRS633Sec524
Be sure to confirm with the Nevada Medical Boards.