29D0680086 CLIA NUMBER - DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 29D0680086
  • Facility Name: DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC
  • Facility Address: 1600 MEDICAL PKWY
    CARSON CITY, NV
    ZIP 89703
  • Facility Phone: 916 440-6317
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK R WOLZ
  • NPI Number: 1104971183
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 29D0680086
LAB Type Independent
Facility Name DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC
Street 1600 MEDICAL PKWY
City CARSON CITY
State NV
ZIP 89703
Phone 916 440-6317
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Independent
Lab Director MARK R WOLZ

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