29D2028003 CLIA NUMBER - WINNEMUCCA VA CLINIC

Laboratory Demographics

  • CLIA Code: 29D2028003
  • Facility Name: WINNEMUCCA VA CLINIC
  • Facility Address: 3298 TRADERS WAY
    WINNEMUCCA, NV
    ZIP 89445
  • Facility Phone: 775 328-1239
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DANIEL HAGEN
  • NPI Number: 1770532640
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2028003
LAB Type Community Clinic
Facility Name WINNEMUCCA VA CLINIC
Street 3298 TRADERS WAY
City WINNEMUCCA
State NV
ZIP 89445
Phone 775 328-1239
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/8/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DANIEL HAGEN

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