29D2206572 CLIA NUMBER - WALGREENS #2662

Laboratory Demographics

  • CLIA Code: 29D2206572
  • Facility Name: WALGREENS #2662
  • Facility Address: 12645 S VIRGINIA ST
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 853-9887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE H. PHAM
  • NPI Number: 1992710966
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2206572
LAB Type Pharmacy
Facility Name WALGREENS #2662
Street 12645 S VIRGINIA ST
City RENO
State NV
ZIP 89511
Phone 775 853-9887
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 MICHELLE H. PHAM

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