29D2162688 CLIA NUMBER - WALMART PHARMACY-STORE 3351

Laboratory Demographics

  • CLIA Code: 29D2162688
  • Facility Name: WALMART PHARMACY-STORE 3351
  • Facility Address: 6464 N DECATUR BLVD
    LAS VEGAS, NV
    ZIP 89131
  • Facility Phone: 702 515-7181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON WEIR
  • NPI Number: 1235223397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2162688
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 3351
Street 6464 N DECATUR BLVD
City LAS VEGAS
State NV
ZIP 89131
Phone 702 515-7181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Pharmacy
Lab Director JAYSON WEIR

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