29D2120436 CLIA NUMBER - DOUGLAS COUNTY COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 29D2120436
  • Facility Name: DOUGLAS COUNTY COMMUNITY HEALTH
  • Facility Address: 1329 WATERLOO LN
    GARDNERVILLE, NV
    ZIP 89410
  • Facility Phone: 775 782-9825
  • Facility Type: Other - GOVERNMENT
  • Facility Type: Microscopy
  • Lab Director: JOHN R. HOLMAN
  • NPI Number: 1871867556
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 29D2120436
LAB Type Other - GOVERNMENT
Facility Name DOUGLAS COUNTY COMMUNITY HEALTH
Street 1329 WATERLOO LN
City GARDNERVILLE
State NV
ZIP 89410
Phone 775 782-9825
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other - GOVERNMENT
Lab Director JOHN R. HOLMAN

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This page was last updated on: 6/4/2025