29D2162989 CLIA NUMBER - PROMINENCE WELLNESS CENTER CARSON

Laboratory Demographics

CLIA Number: 29D2162989

Facility Name: PROMINENCE WELLNESS CENTER CARSON

Facility Address:
2874 N CARSON ST STE 135
CARSON CITY, NV
ZIP 89706
Get Directions

Facility Phone Number: 775 315-9761

Facility Type: Practitioner Other

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	29D2162989
LAB Type	Practitioner Other
Facility Name	PROMINENCE WELLNESS CENTER CARSON
Street	2874 N CARSON ST STE 135
City	CARSON CITY
State	NV
ZIP	89706
Phone	775 315-9761
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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