29D2162353 CLIA NUMBER - WALMART PHARMACY-STORE 5258

Laboratory Demographics

  • CLIA Code: 29D2162353
  • Facility Name: WALMART PHARMACY-STORE 5258
  • Facility Address: 5850 W CRAIG RD
    LAS VEGAS, NV
    ZIP 89130
  • Facility Phone: 702 395-1240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1972520088
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2162353
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 5258
Street 5850 W CRAIG RD
City LAS VEGAS
State NV
ZIP 89130
Phone 702 395-1240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Pharmacy
Lab Director JAYSON A. WEIR

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