29D1072329 CLIA NUMBER - ALPINE FAMILY MEDICINE LLC

Laboratory Demographics

CLIA Number: 29D1072329

Facility Name: ALPINE FAMILY MEDICINE LLC

Facility Address:
1959 E PRATER WAY
SPARKS, NV
ZIP 89434
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Facility Phone Number: 775 331-5200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659401511

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	29D1072329
LAB Type	Physician Office
Facility Name	ALPINE FAMILY MEDICINE LLC
Street	1959 E PRATER WAY
City	SPARKS
State	NV
ZIP	89434
Phone	775 331-5200
CertificateType	4
CertificateEffectiveDate	8/14/2023
CertificateExpirationDate	8/13/2025
FacilityType	Waiver

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