29D2123694 CLIA NUMBER - RENOWN HEALTH MEDICAL GROUP-CAUGHLIN

Laboratory Demographics

CLIA Number: 29D2123694

Facility Name: RENOWN HEALTH MEDICAL GROUP-CAUGHLIN

Facility Address:
4796 CAUGHLIN PKWY UNIT 108
RENO, NV
ZIP 89519
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Facility Phone Number: 775 982-4665

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861445892

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	29D2123694
LAB Type	Physician Office
Facility Name	RENOWN HEALTH MEDICAL GROUP-CAUGHLIN
Street	4796 CAUGHLIN PKWY UNIT 108
City	RENO
State	NV
ZIP	89519
Phone	775 982-4665
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

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