29D0723062 CLIA NUMBER - RENO SPARKS TRIBAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 29D0723062
  • Facility Name: RENO SPARKS TRIBAL HEALTH CENTER
  • Facility Address: 1715 KUENZLI ST
    RENO, NV
    ZIP 89502
  • Facility Phone: 775 329-5162
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ELOY ITUARTE
  • NPI Number: 1497700801
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D0723062
LAB Type Federally Qualified Health Center
Facility Name RENO SPARKS TRIBAL HEALTH CENTER
Street 1715 KUENZLI ST
City RENO
State NV
ZIP 89502
Phone 775 329-5162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Federally Qualified Health Center
Lab Director ELOY ITUARTE

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