29D2054929 CLIA NUMBER - RENOWN HEALTH MEDICAL GRP-LOS ALTOS

Laboratory Demographics

  • CLIA Code: 29D2054929
  • Facility Name: RENOWN HEALTH MEDICAL GRP-LOS ALTOS
  • Facility Address: 202 LOS ALTOS PKWY
    SPARKS, NV
    ZIP 89436
  • Facility Phone: 775 982-6222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRION R. HILL
  • NPI Number: 1861445892
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2054929
LAB Type Physician Office
Facility Name RENOWN HEALTH MEDICAL GRP-LOS ALTOS
Street 202 LOS ALTOS PKWY
City SPARKS
State NV
ZIP 89436
Phone 775 982-6222
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 BRION R. HILL

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This page was last updated on: 6/4/2025