29D2210657 CLIA NUMBER - WALGREENS #03871

Laboratory Demographics

  • CLIA Code: 29D2210657
  • Facility Name: WALGREENS #03871
  • Facility Address: 1701 N GREEN VALLEY PKWY
    HENDERSON, NV
    ZIP 89074
  • Facility Phone: 702 897-5884
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEHSHAD P. VU
  • NPI Number: 1356356315
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2210657
LAB Type Pharmacy
Facility Name WALGREENS #03871
Street 1701 N GREEN VALLEY PKWY
City HENDERSON
State NV
ZIP 89074
Phone 702 897-5884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Pharmacy
Lab Director BEHSHAD P. VU

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