29D2177537 CLIA NUMBER - THE LIFE CHANGE CENTER-RENO

Laboratory Demographics

  • CLIA Code: 29D2177537
  • Facility Name: THE LIFE CHANGE CENTER-RENO
  • Facility Address: 130 VINE ST
    RENO, NV
    ZIP 89503
  • Facility Phone: 775 499-5534
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RYAN P. ZELLER
  • NPI Number: 1922056415
  • Taxonomy: 103TA0400X - Psychologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2177537
LAB Type Practitioner Other
Facility Name THE LIFE CHANGE CENTER-RENO
Street 130 VINE ST
City RENO
State NV
ZIP 89503
Phone 775 499-5534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Practitioner Other
Lab Director RYAN P. ZELLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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