29D2161679 CLIA NUMBER - WALMART PHARMACY-STORE 1648

Laboratory Demographics

  • CLIA Code: 29D2161679
  • Facility Name: WALMART PHARMACY-STORE 1648
  • Facility Address: 3770 US HIGHWAY 395 S
    CARSON CITY, NV
    ZIP 89705
  • Facility Phone: 775 267-2461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1497773147
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2161679
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 1648
Street 3770 US HIGHWAY 395 S
City CARSON CITY
State NV
ZIP 89705
Phone 775 267-2461
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