29D1011602 CLIA NUMBER - SIERRA NEVADA JOB CORPS

Laboratory Demographics

  • CLIA Code: 29D1011602
  • Facility Name: SIERRA NEVADA JOB CORPS
  • Facility Address: 14035 MT LOLA ST
    RENO, NV
    ZIP 89506
  • Facility Phone: 775 789-0859
  • Facility Type: Other - SNJCC WELLNESS CLINIC
  • Facility Type: Waiver
  • Lab Director: WILLIAM T. MIYAZAKI
  • NPI Number: 1760928469
  • Taxonomy: 385H00000X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 29D1011602
LAB Type Other - SNJCC WELLNESS CLINIC
Facility Name SIERRA NEVADA JOB CORPS
Street 14035 MT LOLA ST
City RENO
State NV
ZIP 89506
Phone 775 789-0859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Other - SNJCC WELLNESS CLINIC
Lab Director WILLIAM T. MIYAZAKI

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