29D2266869 CLIA NUMBER - SURGERY NEVADA LLC

Laboratory Demographics

  • CLIA Code: 29D2266869
  • Facility Name: SURGERY NEVADA LLC
  • Facility Address: 5560 KIETZKE LANE
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 322-7811
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Microscopy
  • Lab Director: GAVIN H HARTMAN
  • NPI Number: 1225781891
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2266869
LAB Type Ambulatory Surgery Center
Facility Name SURGERY NEVADA LLC
Street 5560 KIETZKE LANE
City RENO
State NV
ZIP 89511
Phone 775 322-7811
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 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Ambulatory Surgery Center
Lab Director GAVIN H HARTMAN

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