29D2075243 CLIA NUMBER - MCCORMACK PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 29D2075243
  • Facility Name: MCCORMACK PLASTIC SURGERY
  • Facility Address: 5530 KIETZKE LN
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 284-2020
  • Facility Type: Other - SURGERY CENTER
  • Facility Type: Waiver
  • Lab Director: TIFFANY D. MCCORMACK
  • NPI Number: 1265698328
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 29D2075243
LAB Type Other - SURGERY CENTER
Facility Name MCCORMACK PLASTIC SURGERY
Street 5530 KIETZKE LN
City RENO
State NV
ZIP 89511
Phone 775 284-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - SURGERY CENTER
Lab Director TIFFANY D. MCCORMACK

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