29D1013519 CLIA NUMBER - CARSON VALLEY VA CLINIC

Laboratory Demographics

  • CLIA Code: 29D1013519
  • Facility Name: CARSON VALLEY VA CLINIC
  • Facility Address: 1330 WATERLOO LANE SUITE 101
    GARDNERVILLE, NV
    ZIP 89460
  • Facility Phone: 775 328-1239
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DANIEL HAGEN
  • NPI Number: 1346803921
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 29D1013519
LAB Type Community Clinic
Facility Name CARSON VALLEY VA CLINIC
Street 1330 WATERLOO LANE SUITE 101
City GARDNERVILLE
State NV
ZIP 89460
Phone 775 328-1239
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/8/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DANIEL HAGEN

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