29D2162028 CLIA NUMBER - WALMART PHARMACY-STORE 2838

Laboratory Demographics

  • CLIA Code: 29D2162028
  • Facility Name: WALMART PHARMACY-STORE 2838
  • Facility Address: 540 MARKS ST
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 702 547-4904
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1518984624
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2162028
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 2838
Street 540 MARKS ST
City HENDERSON
State NV
ZIP 89014
Phone 702 547-4904
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

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