29D2103856 CLIA NUMBER - NEVADA HEALTH CENTERS AT VIRGINIA CITY

Laboratory Demographics

CLIA Number: 29D2103856

Facility Name: NEVADA HEALTH CENTERS AT VIRGINIA CITY

Facility Address:
175 E CARSON ST STE A
VIRGINIA CITY, NV
ZIP 89440
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Facility Phone Number: 775 445-3510

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1417321902

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D2103856
LAB Type	Federally Qualified Health Center
Facility Name	NEVADA HEALTH CENTERS AT VIRGINIA CITY
Street	175 E CARSON ST STE A
City	VIRGINIA CITY
State	NV
ZIP	89440
Phone	775 445-3510
CertificateType	4
CertificateEffectiveDate	10/21/2023
CertificateExpirationDate	10/20/2025
FacilityType	Waiver

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