29D2162790 CLIA NUMBER - WALMART PHARMACY-STORE 2593

Laboratory Demographics

  • CLIA Code: 29D2162790
  • Facility Name: WALMART PHARMACY-STORE 2593
  • Facility Address: 2310 E SERENE AVE
    LAS VEGAS, NV
    ZIP 89123
  • Facility Phone: 702 270-7837
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1528085636
  • Taxonomy: 3336C0003X - Pharmacy

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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
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

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