29D2277678 CLIA NUMBER - CARSON CITY GASTROENTEROLOGY

Laboratory Demographics

CLIA Number: 29D2277678

Facility Name: CARSON CITY GASTROENTEROLOGY

Facility Address:
1385 VISTA LANE
CARSON CITY, NV
ZIP 89703
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Facility Phone Number: 775 884-4567

Facility Type: Ambulatory Surgery Center

Certificate Type: Certificate of Compliance

NPI Number: 1215554126

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	29D2277678
LAB Type	Ambulatory Surgery Center
Facility Name	CARSON CITY GASTROENTEROLOGY
Street	1385 VISTA LANE
City	CARSON CITY
State	NV
ZIP	89703
Phone	775 884-4567
CertificateType	2
CertificateEffectiveDate	10/17/2023
CertificateExpirationDate	10/16/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024