29D2213534 CLIA NUMBER - VONS PHARMACY #2390

Laboratory Demographics

  • CLIA Code: 29D2213534
  • Facility Name: VONS PHARMACY #2390
  • Facility Address: 475 E WINDMILL LN
    LAS VEGAS, NV
    ZIP 89123
  • Facility Phone: 702 896-7414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY MANASEWITSCH
  • NPI Number: 1528097557
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2213534
LAB Type Pharmacy
Facility Name VONS PHARMACY #2390
Street 475 E WINDMILL LN
City LAS VEGAS
State NV
ZIP 89123
Phone 702 896-7414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Pharmacy
Lab Director EMILY MANASEWITSCH

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