29D2034384 CLIA NUMBER - FORT MCDERMITT WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 29D2034384
  • Facility Name: FORT MCDERMITT WELLNESS CENTER
  • Facility Address: 112 N RESERVATION RD
    MCDERMITT, NV
    ZIP 89421
  • Facility Phone: 775 532-8522
  • Facility Type: Other - TRIBAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: BETTINA GISELLE ALVAREZ
  • NPI Number: 1801348024
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2034384
LAB Type Other - TRIBAL HEALTH CLINIC
Facility Name FORT MCDERMITT WELLNESS CENTER
Street 112 N RESERVATION RD
City MCDERMITT
State NV
ZIP 89421
Phone 775 532-8522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Other - TRIBAL HEALTH CLINIC
Lab Director BETTINA GISELLE ALVAREZ

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