29D0999217 CLIA NUMBER - LINCOLN COUNTY MEDICAL ASSOCIATES-CALIENTE

Laboratory Demographics

CLIA Number: 29D0999217

Facility Name: LINCOLN COUNTY MEDICAL ASSOCIATES-CALIENTE

Facility Address:
700 NORTH SPRING ST
CALIENTE, NV
ZIP 89008
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Facility Phone Number: 775 726-3121

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1598843054

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D0999217
LAB Type	Rural Health Clinic
Facility Name	LINCOLN COUNTY MEDICAL ASSOCIATES-CALIENTE
Street	700 NORTH SPRING ST
City	CALIENTE
State	NV
ZIP	89008
Phone	775 726-3121
CertificateType	4
CertificateEffectiveDate	5/7/2024
CertificateExpirationDate	5/6/2026
FacilityType	Waiver

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