29D1051566 CLIA NUMBER - CARSON VALLEY HEALTH PRIMARY CARE TOPAZ RANCH

Laboratory Demographics

CLIA Number: 29D1051566

Facility Name: CARSON VALLEY HEALTH PRIMARY CARE TOPAZ RANCH

Facility Address:
3919 CARTER DR
WELLINGTON, NV
ZIP 89444
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Facility Phone Number: 775 783-3096

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700118536

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D1051566
LAB Type	Physician Office
Facility Name	CARSON VALLEY HEALTH PRIMARY CARE TOPAZ RANCH
Street	3919 CARTER DR
City	WELLINGTON
State	NV
ZIP	89444
Phone	775 783-3096
CertificateType	4
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Waiver

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