29D2254132 CLIA NUMBER - CARBON HEALTH_5067 S MCCARRAN BLVD SUITE 2

Laboratory Demographics

  • CLIA Code: 29D2254132
  • Facility Name: CARBON HEALTH_5067 S MCCARRAN BLVD SUITE 2
  • Facility Address: 5067 S MCCARRAN BOULEVARD SUITE 2
    RENO, NV
    ZIP 89502
  • Facility Phone: 775 300-6896
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUJAL S. MANDAVIA
  • NPI Number: 1467117259
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2254132
LAB Type Physician Office
Facility Name CARBON HEALTH_5067 S MCCARRAN BLVD SUITE 2
Street 5067 S MCCARRAN BOULEVARD SUITE 2
City RENO
State NV
ZIP 89502
Phone 775 300-6896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director SUJAL S. MANDAVIA

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: 6/4/2025