29D2225112 CLIA NUMBER - WALGREENS #05619

Laboratory Demographics

  • CLIA Code: 29D2225112
  • Facility Name: WALGREENS #05619
  • Facility Address: 3030 LAS VEGAS BLVD N
    N LAS VEGAS, NV
    ZIP 89030
  • Facility Phone: 702 642-5318
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIA V. CHUN
  • NPI Number: 1760498109
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2225112
LAB Type Pharmacy
Facility Name WALGREENS #05619
Street 3030 LAS VEGAS BLVD N
City N LAS VEGAS
State NV
ZIP 89030
Phone 702 642-5318
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 JULIA V. CHUN

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