29D2162723 CLIA NUMBER - WALMART PHARMACY-STORE 3473

Laboratory Demographics

  • CLIA Code: 29D2162723
  • Facility Name: WALMART PHARMACY-STORE 3473
  • Facility Address: 4505 W CHARLESTON BLVD
    LAS VEGAS, NV
    ZIP 89102
  • Facility Phone: 702 258-5075
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON WEIR
  • NPI Number: 1154348266
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2162723
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 3473
Street 4505 W CHARLESTON BLVD
City LAS VEGAS
State NV
ZIP 89102
Phone 702 258-5075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director JAYSON WEIR

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