29D2279511 CLIA NUMBER - EAGLE VALLEY CHILDREN'S HOME

Laboratory Demographics

CLIA Code: 29D2279511
Facility Name: EAGLE VALLEY CHILDREN'S HOME
Facility Address: 2300 EAGLE VALLEY RANCH ROAD
CARSON CITY, NV
ZIP 89703
Facility Phone: 775 882-1188
Facility Type: Skilled Nursing Facility/Nursing Facility
Facility Type: Waiver
Lab Director: JUSTIN VOSS
NPI Number: 1922026566
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	29D2279511
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	EAGLE VALLEY CHILDREN'S HOME
Street	2300 EAGLE VALLEY RANCH ROAD
City	CARSON CITY
State	NV
ZIP	89703
Phone	775 882-1188
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/3/2025
Certificate Expiration Date	4/2/2027
Facility Type	Skilled Nursing Facility/Nursing Facility
Lab Director	JUSTIN VOSS

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