29D2222586 CLIA NUMBER - WALGREENS #10862

Laboratory Demographics

  • CLIA Code: 29D2222586
  • Facility Name: WALGREENS #10862
  • Facility Address: 2421 E BONANZA RD
    LAS VEGAS, NV
    ZIP 89101
  • Facility Phone: 702 366-1556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER LEE
  • NPI Number: 1689905721
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2222586
LAB Type Pharmacy
Facility Name WALGREENS #10862
Street 2421 E BONANZA RD
City LAS VEGAS
State NV
ZIP 89101
Phone 702 366-1556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER LEE

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