29D2126285 CLIA NUMBER - MOUNTAIN WEST SPORT AND SPINE

Laboratory Demographics

  • CLIA Code: 29D2126285
  • Facility Name: MOUNTAIN WEST SPORT AND SPINE
  • Facility Address: 6630 S MCCARRAN BLVD STE A3
    RENO, NV
    ZIP 89509
  • Facility Phone: 775 828-2873
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN L. REHYER
  • NPI Number: 1982873071
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 29D2126285
LAB Type Physician Office
Facility Name MOUNTAIN WEST SPORT AND SPINE
Street 6630 S MCCARRAN BLVD STE A3
City RENO
State NV
ZIP 89509
Phone 775 828-2873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director JOHN L. REHYER

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