29D2103794 CLIA NUMBER - VITALITY CENTER/ACTIONS MULTI SITE VITALITY CTR/ACTIONS CC & ELKO

Laboratory Demographics

  • CLIA Code: 29D2103794
  • Facility Name: VITALITY CENTER/ACTIONS MULTI SITE VITALITY CTR/ACTIONS CC & ELKO
  • Facility Address: 3740 IDAHO ST
    ELKO, NV
    ZIP 89801
  • Facility Phone: 775 461-0999
  • Facility Type: Other - SUBST ABUSE TRMNT CENTER
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. THOMPSON
  • NPI Number: 1497161905
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 29D2103794
LAB Type Other - SUBST ABUSE TRMNT CENTER
Facility Name VITALITY CENTER/ACTIONS MULTI SITE VITALITY CTR/ACTIONS CC & ELKO
Street 3740 IDAHO ST
City ELKO
State NV
ZIP 89801
Phone 775 461-0999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - SUBST ABUSE TRMNT CENTER
Lab Director MICHAEL B. THOMPSON

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