29D2186996 CLIA NUMBER - VITALITY INTEGRATED PROGRAMS-CCHBC

Laboratory Demographics

  • CLIA Code: 29D2186996
  • Facility Name: VITALITY INTEGRATED PROGRAMS-CCHBC
  • Facility Address: 215 BLUFFS AVE STES 100 AND 200
    ELKO, NV
    ZIP 89801
  • Facility Phone: 775 738-4158
  • Facility Type: Other - CERTIFIED COMMUNITY BEHAV
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. THOMPSON
  • NPI Number: 1629540380
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2186996
LAB Type Other - CERTIFIED COMMUNITY BEHAV
Facility Name VITALITY INTEGRATED PROGRAMS-CCHBC
Street 215 BLUFFS AVE STES 100 AND 200
City ELKO
State NV
ZIP 89801
Phone 775 738-4158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Other - CERTIFIED COMMUNITY BEHAV
Lab Director MICHAEL B. THOMPSON

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