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29D2162790 CLIA NUMBER - WALMART PHARMACY-STORE 2593

Laboratory Demographics

CLIA Number: 29D2162790

Facility Name: WALMART PHARMACY-STORE 2593

Facility Address:
2310 E SERENE AVE
LAS VEGAS, NV
ZIP 89123
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Facility Phone Number: 702 270-7837

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1528085636

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 29D2162790
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 2593
Street 2310 E SERENE AVE
City LAS VEGAS
State NV
ZIP 89123
Phone 702 270-7837
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