29D2257485 CLIA NUMBER - ELKO REPLENISH MED SPA

Laboratory Demographics

  • CLIA Code: 29D2257485
  • Facility Name: ELKO REPLENISH MED SPA
  • Facility Address: 1825 PINION RD SUITE E
    ELKO, NV
    ZIP 89801
  • Facility Phone: 775 400-1660
  • Facility Type: Other - MED SPA
  • Facility Type: Waiver
  • Lab Director: JOSIE CERVANTES
  • NPI Number: 1871234609
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2257485
LAB Type Other - MED SPA
Facility Name ELKO REPLENISH MED SPA
Street 1825 PINION RD SUITE E
City ELKO
State NV
ZIP 89801
Phone 775 400-1660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Other - MED SPA
Lab Director JOSIE CERVANTES

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