29D2019841 CLIA NUMBER - SPINE CARE AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 29D2019841
  • Facility Name: SPINE CARE AND REHABILITATION
  • Facility Address: 755 N ROOP ST STE 112
    CARSON CITY, NV
    ZIP 89701
  • Facility Phone: 775 883-7938
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE E. MULLEN
  • NPI Number: 1750331013
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 29D2019841
LAB Type Physician Office
Facility Name SPINE CARE AND REHABILITATION
Street 755 N ROOP ST STE 112
City CARSON CITY
State NV
ZIP 89701
Phone 775 883-7938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director BRUCE E. MULLEN

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