29D2094135 CLIA NUMBER - NORTHEASTERN NEVADA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D2094135
  • Facility Name: NORTHEASTERN NEVADA PEDIATRICS
  • Facility Address: 1995 ERRECART BLVD STE 202
    ELKO, NV
    ZIP 89801
  • Facility Phone: 775 738-3654
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEX DUTSON
  • NPI Number: 1730408949
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2094135
LAB Type Physician Office
Facility Name NORTHEASTERN NEVADA PEDIATRICS
Street 1995 ERRECART BLVD STE 202
City ELKO
State NV
ZIP 89801
Phone 775 738-3654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director ALEX DUTSON

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