29D0881077 CLIA NUMBER - AISTHETA RENO MEDICAL SKIN CARE CENTER

Laboratory Demographics

  • CLIA Code: 29D0881077
  • Facility Name: AISTHETA RENO MEDICAL SKIN CARE CENTER
  • Facility Address: 500 DAMONTE RANCH PKWY STE 1056
    RENO, NV
    ZIP 89521
  • Facility Phone: 775 829-1212
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WILLIAM S MORTENSEN
  • NPI Number: 1639226665
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 29D0881077
LAB Type Physician Office
Facility Name AISTHETA RENO MEDICAL SKIN CARE CENTER
Street 500 DAMONTE RANCH PKWY STE 1056
City RENO
State NV
ZIP 89521
Phone 775 829-1212
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director WILLIAM S MORTENSEN

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