29D2317112 CLIA NUMBER - PHYSICIAN CONSULTANTS PROFESSIONAL, LLC

Laboratory Demographics

  • CLIA Code: 29D2317112
  • Facility Name: PHYSICIAN CONSULTANTS PROFESSIONAL, LLC
  • Facility Address: 917 MOUNTAIN STREET
    CARSON CITY, NV
    ZIP 89703
  • Facility Phone: 775 515-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAYSON A WEIR
  • NPI Number: 1861273948
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2317112
LAB Type Physician Office
Facility Name PHYSICIAN CONSULTANTS PROFESSIONAL, LLC
Street 917 MOUNTAIN STREET
City CARSON CITY
State NV
ZIP 89703
Phone 775 515-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director JAYSON A WEIR

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