29D2050563 CLIA NUMBER - SIERRA NEUROSURGERY GROUP

Laboratory Demographics

  • CLIA Code: 29D2050563
  • Facility Name: SIERRA NEUROSURGERY GROUP
  • Facility Address: 5590 KIETZKE LN
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 323-2080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOB L. BLAKE
  • NPI Number: 1295914661
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 29D2050563
LAB Type Physician Office
Facility Name SIERRA NEUROSURGERY GROUP
Street 5590 KIETZKE LN
City RENO
State NV
ZIP 89511
Phone 775 323-2080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director JACOB L. BLAKE

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