29D2161979 CLIA NUMBER - WALMART PHARMACY-STORE 4239

Laboratory Demographics

  • CLIA Code: 29D2161979
  • Facility Name: WALMART PHARMACY-STORE 4239
  • Facility Address: 250 VISTA KNOLL PKWY
    RENO, NV
    ZIP 89506
  • Facility Phone: 775 332-0635
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1326318999
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2161979
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 4239
Street 250 VISTA KNOLL PKWY
City RENO
State NV
ZIP 89506
Phone 775 332-0635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Pharmacy
Lab Director JAYSON A. WEIR

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