29D2206533 CLIA NUMBER - WALGREENS #12540

Laboratory Demographics

  • CLIA Code: 29D2206533
  • Facility Name: WALGREENS #12540
  • Facility Address: 9705 PYRAMID WAY
    SPARKS, NV
    ZIP 89441
  • Facility Phone: 775 425-9400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEAANDREA GARCIA
  • NPI Number: 1851629786
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2206533
LAB Type Pharmacy
Facility Name WALGREENS #12540
Street 9705 PYRAMID WAY
City SPARKS
State NV
ZIP 89441
Phone 775 425-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director BEAANDREA GARCIA

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