29D1080961 CLIA NUMBER - CARSON TAHOE CONTINUING CARE HOSPITAL

Laboratory Demographics

  • CLIA Code: 29D1080961
  • Facility Name: CARSON TAHOE CONTINUING CARE HOSPITAL
  • Facility Address: 775 FLEISCHMANN WAY 2ND FLOOR
    CARSON CITY, NV
    ZIP 89703
  • Facility Phone: 775 445-8501
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SUSAN A. DOBERNECK MD
  • NPI Number: 1427099290
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D1080961
LAB Type Hospital
Facility Name CARSON TAHOE CONTINUING CARE HOSPITAL
Street 775 FLEISCHMANN WAY 2ND FLOOR
City CARSON CITY
State NV
ZIP 89703
Phone 775 445-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Hospital
Lab Director SUSAN A. DOBERNECK MD

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