29D0971125 CLIA NUMBER - CONCENTRA-CARSON CITY

Laboratory Demographics

  • CLIA Code: 29D0971125
  • Facility Name: CONCENTRA-CARSON CITY
  • Facility Address: 3488 GONI RD BLDG E STE 141
    CARSON CITY, NV
    ZIP 89706
  • Facility Phone: 775 887-5030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. BETZ
  • NPI Number: 1881364214
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D0971125
LAB Type Physician Office
Facility Name CONCENTRA-CARSON CITY
Street 3488 GONI RD BLDG E STE 141
City CARSON CITY
State NV
ZIP 89706
Phone 775 887-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director JOHN E. BETZ

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