This report summarizes blood lead testing data for Nevada children under six years of age from October 1, 2022 through September 30, 2023. It presents statewide and county-level data on testing, case rates, and factors associated with lead exposure risk (see Appendix A: Methods). The findings aim to inform Nevada’s health authorities, health care providers, and community partners about current testing performance and opportunities to strengthen lead testing, reporting, and prevention statewide.