29D2133162 CLIA NUMBER - WILLIAM BEE RIRIE EUREKA CLINIC

Laboratory Demographics

CLIA Number: 29D2133162

Facility Name: WILLIAM BEE RIRIE EUREKA CLINIC

Facility Address:
250 SOUTH MAIN ST
EUREKA, NV
ZIP 89316
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Facility Phone Number: 775 237-5642

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1407365711

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	29D2133162
LAB Type	Rural Health Clinic
Facility Name	WILLIAM BEE RIRIE EUREKA CLINIC
Street	250 SOUTH MAIN ST
City	EUREKA
State	NV
ZIP	89316
Phone	775 237-5642
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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