29D0936425 CLIA NUMBER - WILDCREEK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 29D0936425
  • Facility Name: WILDCREEK SURGERY CENTER
  • Facility Address: 2285 GREEN VISTA DR
    SPARKS, NV
    ZIP 89431
  • Facility Phone: 775 674-1110
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL W. HISS
  • NPI Number: 1003875873
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D0936425
LAB Type Ambulatory Surgery Center
Facility Name WILDCREEK SURGERY CENTER
Street 2285 GREEN VISTA DR
City SPARKS
State NV
ZIP 89431
Phone 775 674-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Ambulatory Surgery Center
Lab Director PAUL W. HISS

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