29D0966835 CLIA NUMBER - GREAT BASIN PATHOLOGY

Laboratory Demographics

  • CLIA Code: 29D0966835
  • Facility Name: GREAT BASIN PATHOLOGY
  • Facility Address: 1250 LAMOILLE HWY #311
    ELKO, NV
    ZIP 89801
  • Facility Phone: 775 753-5845
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: GEORGE MARDINI
  • NPI Number: 1508827924
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 29D0966835
LAB Type Independent
Facility Name GREAT BASIN PATHOLOGY
Street 1250 LAMOILLE HWY #311
City ELKO
State NV
ZIP 89801
Phone 775 753-5845
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 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Independent
Lab Director GEORGE MARDINI

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