29D2125528 CLIA NUMBER - SLOTHOWER PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 29D2125528

Facility Name: SLOTHOWER PEDIATRICS LLC

Facility Address:
1780 BROWNING WAY
ELKO, NV
ZIP 89801
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Facility Phone Number: 775 778-3437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275079832

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D2125528
LAB Type	Physician Office
Facility Name	SLOTHOWER PEDIATRICS LLC
Street	1780 BROWNING WAY
City	ELKO
State	NV
ZIP	89801
Phone	775 778-3437
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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