29D2225111 CLIA NUMBER - WALGREENS #06425

Laboratory Demographics

  • CLIA Code: 29D2225111
  • Facility Name: WALGREENS #06425
  • Facility Address: 900 N RANCHO DR
    LAS VEGAS, NV
    ZIP 89106
  • Facility Phone: 702 646-4651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHIN HYEMIN
  • NPI Number: 1891700860
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2225111
LAB Type Pharmacy
Facility Name WALGREENS #06425
Street 900 N RANCHO DR
City LAS VEGAS
State NV
ZIP 89106
Phone 702 646-4651
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 SHIN HYEMIN

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