29D2206214 CLIA NUMBER - SMITHS PHARMACY#347

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Laboratory Demographics

CLIA Number: 29D2206214

Facility Name: SMITHS PHARMACY#347

Facility Address:
9851 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89117
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Facility Phone Number: 702 946-1204

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427075043

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	29D2206214
LAB Type	Pharmacy
Facility Name	SMITHS PHARMACY#347
Street	9851 W CHARLESTON BLVD
City	LAS VEGAS
State	NV
ZIP	89117
Phone	702 946-1204
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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