29D0691214 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 29D0691214
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 645 N ARLINGTON AVE STE 620
    RENO, NV
    ZIP 89503
  • Facility Phone: (775) 329-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARA N. PROKOP
  • NPI Number: 1154302149
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D0691214
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 645 N ARLINGTON AVE STE 620
City RENO
State NV
ZIP 89503
Phone 7753292525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2026
Certificate Expiration Date 2/5/2028
Facility Type Physician Office
Lab Director TARA N. PROKOP

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This page was last updated on: 5/18/2026