29D2181678 CLIA NUMBER - CARSON TAHOE PAIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 29D2181678
  • Facility Name: CARSON TAHOE PAIN INSTITUTE
  • Facility Address: 973 MICA DR STE 200
    CARSON CITY, NV
    ZIP 89705
  • Facility Phone: 775 445-7225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSS JENSON
  • NPI Number: 1447568787
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2181678
LAB Type Physician Office
Facility Name CARSON TAHOE PAIN INSTITUTE
Street 973 MICA DR STE 200
City CARSON CITY
State NV
ZIP 89705
Phone 775 445-7225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director ROSS JENSON

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