29D2212010 CLIA NUMBER - WALGREENS #12539

Home > CLIA Lookup > 29D2212010

Laboratory Demographics

CLIA Number: 29D2212010

Facility Name: WALGREENS #12539

Facility Address:
6825 N DURANGO DR
LAS VEGAS, NV
ZIP 89149
Get Directions

Facility Phone Number: 702 260-8242

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831415033

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024