29D1062764 CLIA NUMBER - RENOWN CHILDRENS- 2ND STREET

Laboratory Demographics

  • CLIA Code: 29D1062764
  • Facility Name: RENOWN CHILDRENS- 2ND STREET
  • Facility Address: 901 E SECOND ST STE 201
    RENO, NV
    ZIP 89502
  • Facility Phone: 775 982-8935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN L. WILSON
  • NPI Number: 1952872582
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1062764
LAB Type Physician Office
Facility Name RENOWN CHILDRENS- 2ND STREET
Street 901 E SECOND ST STE 201
City RENO
State NV
ZIP 89502
Phone 775 982-8935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director KRISTIN L. WILSON

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