29D0689188 CLIA NUMBER - GROVER C DILS MED CTR-ANCILLARY LAB

Laboratory Demographics

  • CLIA Code: 29D0689188
  • Facility Name: GROVER C DILS MED CTR-ANCILLARY LAB
  • Facility Address: 700 N SPRING ST
    CALIENTE, NV
    ZIP 89008
  • Facility Phone: 702 726-3171
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DANIEL MOCKLER
  • NPI Number: 1659423341
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 29D0689188
LAB Type Hospital
Facility Name GROVER C DILS MED CTR-ANCILLARY LAB
Street 700 N SPRING ST
City CALIENTE
State NV
ZIP 89008
Phone 702 726-3171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospital
Lab Director DANIEL MOCKLER

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