29D1038450 CLIA NUMBER - WESTERN NEVADA SURGICAL CENTER INC

Laboratory Demographics

CLIA Number: 29D1038450

Facility Name: WESTERN NEVADA SURGICAL CENTER INC

Facility Address:
1299 MOUNTAIN ST
CARSON CITY, NV
ZIP 89703
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Facility Phone Number: 775 882-4477

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1609862341

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D1038450
LAB Type	Ambulatory Surgery Center
Facility Name	WESTERN NEVADA SURGICAL CENTER INC
Street	1299 MOUNTAIN ST
City	CARSON CITY
State	NV
ZIP	89703
Phone	775 882-4477
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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