29D2163138 CLIA NUMBER - DOUGLAS COUNTY JAIL

Laboratory Demographics

CLIA Number: 29D2163138

Facility Name: DOUGLAS COUNTY JAIL

Facility Address:
1038 BUCKEYE RD
MINDEN, NV
ZIP 89423
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Facility Phone Number: 775 782-9921

Facility Type: Other - COUNTY JAIL

Certificate Type: Waiver

NPI Number: 1124577648

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 29D2163138
LAB Type Other - COUNTY JAIL
Facility Name DOUGLAS COUNTY JAIL
Street 1038 BUCKEYE RD
City MINDEN
State NV
ZIP 89423
Phone 775 782-9921
CertificateType 4
CertificateEffectiveDate 3/7/2023
CertificateExpirationDate 3/6/2025
FacilityType Waiver

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