29D1077429 CLIA NUMBER - PACK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D1077429
  • Facility Name: PACK PEDIATRICS
  • Facility Address: 5301 RENO CORPORTATE DR
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 329-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWNICE KRAEBER
  • NPI Number: 1134957822
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D1077429
LAB Type Physician Office
Facility Name PACK PEDIATRICS
Street 5301 RENO CORPORTATE DR
City RENO
State NV
ZIP 89511
Phone 775 329-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director SHAWNICE KRAEBER

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