29D2222600 CLIA NUMBER - WALGREENS #04854

Laboratory Demographics

  • CLIA Code: 29D2222600
  • Facility Name: WALGREENS #04854
  • Facility Address: 4771 W CRAIG RD
    N LAS VEGAS, NV
    ZIP 89032
  • Facility Phone: 702 656-1221
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH NAMBI
  • NPI Number: 1124035001
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2222600
LAB Type Pharmacy
Facility Name WALGREENS #04854
Street 4771 W CRAIG RD
City N LAS VEGAS
State NV
ZIP 89032
Phone 702 656-1221
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 DEBORAH NAMBI

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