29D2161678 CLIA NUMBER - WALMART PHARMACY-STORE 5864

Laboratory Demographics

  • CLIA Code: 29D2161678
  • Facility Name: WALMART PHARMACY-STORE 5864
  • Facility Address: 1511 GRANT ST
    GARDNERVILLE, NV
    ZIP 89410
  • Facility Phone: 775 552-3443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1700120136
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 29D2161678
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 5864
Street 1511 GRANT ST
City GARDNERVILLE
State NV
ZIP 89410
Phone 775 552-3443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director JAYSON A. WEIR

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