29D2206559 CLIA NUMBER - WALGREENS #12488

Laboratory Demographics

  • CLIA Code: 29D2206559
  • Facility Name: WALGREENS #12488
  • Facility Address: 1280 US HWY 95A N
    FERNLEY, NV
    ZIP 89408
  • Facility Phone: 775 835-6427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YANCEY NATIVIDAD
  • NPI Number: 1518246354
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2206559
LAB Type Pharmacy
Facility Name WALGREENS #12488
Street 1280 US HWY 95A N
City FERNLEY
State NV
ZIP 89408
Phone 775 835-6427
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 YANCEY NATIVIDAD

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