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29D2162789 CLIA NUMBER - WALMART PHARMACY-STORE 2592

Laboratory Demographics

CLIA Number: 29D2162789

Facility Name: WALMART PHARMACY-STORE 2592

Facility Address:
1807 W CRAIG RD
N LAS VEGAS, NV
ZIP 89032
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Facility Phone Number: 702 633-6532

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700803814

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 29D2162789
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 2592
Street 1807 W CRAIG RD
City N LAS VEGAS
State NV
ZIP 89032
Phone 702 633-6532
CertificateType 4
CertificateEffectiveDate 2/28/2023
CertificateExpirationDate 2/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024