29D2259930 CLIA NUMBER - RENO TAHOE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 29D2259930
  • Facility Name: RENO TAHOE DERMATOLOGY
  • Facility Address: 5452 RENO CORPORATE DR
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 245-2426
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BILLIE CASSE
  • NPI Number: 1063189348
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 29D2259930
LAB Type Physician Office
Facility Name RENO TAHOE DERMATOLOGY
Street 5452 RENO CORPORATE DR
City RENO
State NV
ZIP 89511
Phone 775 245-2426
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director BILLIE CASSE

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