29D2033031 CLIA NUMBER - RENOWN HEALTH MEDICAL GROUP-CHURCHILL

Laboratory Demographics

  • CLIA Code: 29D2033031
  • Facility Name: RENOWN HEALTH MEDICAL GROUP-CHURCHILL
  • Facility Address: 560 E WILLIAMS AVE
    FALLON, NV
    ZIP 89406
  • Facility Phone: 775 982-2980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRET M. BELLARD
  • NPI Number: 1851862288
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2033031
LAB Type Physician Office
Facility Name RENOWN HEALTH MEDICAL GROUP-CHURCHILL
Street 560 E WILLIAMS AVE
City FALLON
State NV
ZIP 89406
Phone 775 982-2980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director BRET M. BELLARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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