29D2162008 CLIA NUMBER - WALMART PHARMACY-STORE 2189

Laboratory Demographics

  • CLIA Code: 29D2162008
  • Facility Name: WALMART PHARMACY-STORE 2189
  • Facility Address: 4855 KIETZKE LN
    RENO, NV
    ZIP 89509
  • Facility Phone: 775 829-1995
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1023036787
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2162008
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 2189
Street 4855 KIETZKE LN
City RENO
State NV
ZIP 89509
Phone 775 829-1995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Pharmacy
Lab Director JAYSON A. WEIR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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