29D2063248 CLIA NUMBER - PINECONE PEDIATRICS TAMMY ROESLER MD PC

Laboratory Demographics

  • CLIA Code: 29D2063248
  • Facility Name: PINECONE PEDIATRICS TAMMY ROESLER MD PC
  • Facility Address: 3725 LAKESIDE DR
    RENO, NV
    ZIP 89509
  • Facility Phone: 775 737-4707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMMY R. ROESLER
  • NPI Number: 1437528825
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D2063248
LAB Type Physician Office
Facility Name PINECONE PEDIATRICS TAMMY ROESLER MD PC
Street 3725 LAKESIDE DR
City RENO
State NV
ZIP 89509
Phone 775 737-4707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director TAMMY R. ROESLER

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