29D0697857 CLIA NUMBER - OWYHEE COMMUNITY HEALTH FACILITY

Laboratory Demographics

  • CLIA Code: 29D0697857
  • Facility Name: OWYHEE COMMUNITY HEALTH FACILITY
  • Facility Address: 1623 HOSPITAL LOOP RD
    OWYHEE, NV
    ZIP 89832
  • Facility Phone: 775 757-2415
  • Facility Type: Other - TRIBAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: ALEXANDER J. VITALE
  • NPI Number: 1659535813
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D0697857
LAB Type Other - TRIBAL HEALTH CLINIC
Facility Name OWYHEE COMMUNITY HEALTH FACILITY
Street 1623 HOSPITAL LOOP RD
City OWYHEE
State NV
ZIP 89832
Phone 775 757-2415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - TRIBAL HEALTH CLINIC
Lab Director ALEXANDER J. VITALE

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