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

Laboratory Demographics

CLIA Number: 29D2103794

Facility Name: VITALITY CENTER/ACTIONS MULTI SITE VITALITY CTR/ACTIONS CC & ELKO

Facility Address:
3740 IDAHO ST
ELKO, NV
ZIP 89801
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Facility Phone Number: 775 461-0999

Facility Type: Other - SUBST ABUSE TRMNT CENTER

Certificate Type: Waiver

NPI Number: 1497161905

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024