29D1056910 CLIA NUMBER - COMMUNITY HEALTH ALLIANCE-WELLS AVE

Laboratory Demographics

  • CLIA Code: 29D1056910
  • Facility Name: COMMUNITY HEALTH ALLIANCE-WELLS AVE
  • Facility Address: 1055 S WELLS AVE
    RENO, NV
    ZIP 89502
  • Facility Phone: 775 329-6300
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MARIA SHACKELTON FERNANDEZ
  • NPI Number: 1407463540
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D1056910
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH ALLIANCE-WELLS AVE
Street 1055 S WELLS AVE
City RENO
State NV
ZIP 89502
Phone 775 329-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Federally Qualified Health Center
Lab Director MARIA SHACKELTON FERNANDEZ

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