29D2219134 CLIA NUMBER - WALGREENS #11766

Laboratory Demographics

  • CLIA Code: 29D2219134
  • Facility Name: WALGREENS #11766
  • Facility Address: 4930 BLUE DIAMOND RD
    LAS VEGAS, NV
    ZIP 89139
  • Facility Phone: 702 260-9695
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONIQUE KUN
  • NPI Number: 1841510617
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2219134
LAB Type Pharmacy
Facility Name WALGREENS #11766
Street 4930 BLUE DIAMOND RD
City LAS VEGAS
State NV
ZIP 89139
Phone 702 260-9695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director MONIQUE KUN

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