29D2111619 CLIA NUMBER - CITY OF ELY FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 29D2111619
  • Facility Name: CITY OF ELY FIRE DEPARTMENT
  • Facility Address: 1780 GREAT BASIN BLVD
    ELY, NV
    ZIP 89301
  • Facility Phone: 775 289-6633
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: G NORMAN CHRISTIENSON
  • NPI Number: 1144545419
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 29D2111619
LAB Type Ambulance
Facility Name CITY OF ELY FIRE DEPARTMENT
Street 1780 GREAT BASIN BLVD
City ELY
State NV
ZIP 89301
Phone 775 289-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Ambulance
Lab Director G NORMAN CHRISTIENSON

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