29D2315108 CLIA NUMBER - UROLOGY NEVADA, ION

Laboratory Demographics

  • CLIA Code: 29D2315108
  • Facility Name: UROLOGY NEVADA, ION
  • Facility Address: 5070 ION DRIVE SUITE 201
    SPARKS, NV
    ZIP 89436
  • Facility Phone: 775 322-7811
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROLAND GOODE
  • NPI Number: 1316162795
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 29D2315108
LAB Type Physician Office
Facility Name UROLOGY NEVADA, ION
Street 5070 ION DRIVE SUITE 201
City SPARKS
State NV
ZIP 89436
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director ROLAND GOODE

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