29D0972020 CLIA NUMBER - GOLDEN VALLEY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 29D0972020

Facility Name: GOLDEN VALLEY MEDICAL CENTER

Facility Address:
515 W HASKELL ST
WINNEMUCCA, NV
ZIP 89445
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Facility Phone Number: 775 625-4653

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437185105

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 29D0972020
LAB Type Physician Office
Facility Name GOLDEN VALLEY MEDICAL CENTER
Street 515 W HASKELL ST
City WINNEMUCCA
State NV
ZIP 89445
Phone 775 625-4653
CertificateType 4
CertificateEffectiveDate 10/21/2023
CertificateExpirationDate 10/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024