29D0699496 CLIA NUMBER - SOUTHERN BANDS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 29D0699496
  • Facility Name: SOUTHERN BANDS HEALTH CENTER
  • Facility Address: 515 SHOSHONE CIRCLE
    ELKO, NV
    ZIP 89801
  • Facility Phone: 775 738-2252
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KIRIN MADDEN MD
  • NPI Number: 1730466608
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D0699496
LAB Type Federally Qualified Health Center
Facility Name SOUTHERN BANDS HEALTH CENTER
Street 515 SHOSHONE CIRCLE
City ELKO
State NV
ZIP 89801
Phone 775 738-2252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Federally Qualified Health Center
Lab Director KIRIN MADDEN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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