05D1084334 CLIA NUMBER - TAHOE FOREST MULTISPECIALTY CLINIC

Laboratory Demographics

  • CLIA Code: 05D1084334
  • Facility Name: TAHOE FOREST MULTISPECIALTY CLINIC
  • Facility Address: 10978 DONNER PASS RD
    TRUCKEE, CA
    ZIP 96161
  • Facility Phone: 530 582-1212
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JOSHUA D. SCHOLNICK
  • NPI Number: 1255835906
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1084334
LAB Type Rural Health Clinic
Facility Name TAHOE FOREST MULTISPECIALTY CLINIC
Street 10978 DONNER PASS RD
City TRUCKEE
State CA
ZIP 96161
Phone 530 582-1212
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Rural Health Clinic
Lab Director JOSHUA D. SCHOLNICK

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