29D2212010 CLIA NUMBER - WALGREENS #12539

Laboratory Demographics

  • CLIA Code: 29D2212010
  • Facility Name: WALGREENS #12539
  • Facility Address: 6825 N DURANGO DR
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 260-8242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KERRY OTERO
  • NPI Number: 1831415033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2212010
LAB Type Pharmacy
Facility Name WALGREENS #12539
Street 6825 N DURANGO DR
City LAS VEGAS
State NV
ZIP 89149
Phone 702 260-8242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Pharmacy
Lab Director KERRY OTERO

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