29D2222602 CLIA NUMBER - WALGREENS #03873

Laboratory Demographics

  • CLIA Code: 29D2222602
  • Facility Name: WALGREENS #03873
  • Facility Address: 6865 W TROPICANA AVE
    LAS VEGAS, NV
    ZIP 89103
  • Facility Phone: 702 871-1623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA I. SHAKE
  • NPI Number: 1891700852
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2222602
LAB Type Pharmacy
Facility Name WALGREENS #03873
Street 6865 W TROPICANA AVE
City LAS VEGAS
State NV
ZIP 89103
Phone 702 871-1623
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 MELISSA I. SHAKE

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