29D2133240 CLIA NUMBER - WILLIAM BEE RIRIE CRESCENT VALLEY CLINIC

Laboratory Demographics

  • CLIA Code: 29D2133240
  • Facility Name: WILLIAM BEE RIRIE CRESCENT VALLEY CLINIC
  • Facility Address: 5043 TENABO AVENUE
    CRESCENT VALLEY, NV
    ZIP 89821
  • Facility Phone: 775 468-0250
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MIKE MUGOSA
  • NPI Number: 1699284901
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2133240
LAB Type Rural Health Clinic
Facility Name WILLIAM BEE RIRIE CRESCENT VALLEY CLINIC
Street 5043 TENABO AVENUE
City CRESCENT VALLEY
State NV
ZIP 89821
Phone 775 468-0250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Rural Health Clinic
Lab Director MIKE MUGOSA

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