29D2069857 CLIA NUMBER - RAFAELA G HERNANDEZ MD CHTD

Laboratory Demographics

  • CLIA Code: 29D2069857
  • Facility Name: RAFAELA G HERNANDEZ MD CHTD
  • Facility Address: 236 W 6TH ST STE 303
    RENO, NV
    ZIP 89503
  • Facility Phone: 775 337-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFAELA G. HERNANDEZ
  • NPI Number: 1598934325
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 29D2069857
LAB Type Physician Office
Facility Name RAFAELA G HERNANDEZ MD CHTD
Street 236 W 6TH ST STE 303
City RENO
State NV
ZIP 89503
Phone 775 337-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director RAFAELA G. HERNANDEZ

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