29D2162787 CLIA NUMBER - WALMART PHARMACY-STORE 2483

Laboratory Demographics

  • CLIA Code: 29D2162787
  • Facility Name: WALMART PHARMACY-STORE 2483
  • Facility Address: 6973 BLUE DIAMOND RD
    LAS VEGAS, NV
    ZIP 89178
  • Facility Phone: 702 408-3596
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1710407895
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2162787
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 2483
Street 6973 BLUE DIAMOND RD
City LAS VEGAS
State NV
ZIP 89178
Phone 702 408-3596
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 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