29D2225095 CLIA NUMBER - WALGREENS #04579

Laboratory Demographics

  • CLIA Code: 29D2225095
  • Facility Name: WALGREENS #04579
  • Facility Address: 2400 E TROPICANA AVE
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: 702 435-6289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FEVEN ALEMSEGED
  • NPI Number: 1306853288
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2225095
LAB Type Pharmacy
Facility Name WALGREENS #04579
Street 2400 E TROPICANA AVE
City LAS VEGAS
State NV
ZIP 89121
Phone 702 435-6289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director FEVEN ALEMSEGED

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