29D2225113 CLIA NUMBER - WALGREENS #06227

Laboratory Demographics

  • CLIA Code: 29D2225113
  • Facility Name: WALGREENS #06227
  • Facility Address: 451 S DECATUR BLVD
    LAS VEGAS, NV
    ZIP 89107
  • Facility Phone: 702 870-1626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARLA CUSTODIO
  • NPI Number: 1275548240
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2225113
LAB Type Pharmacy
Facility Name WALGREENS #06227
Street 451 S DECATUR BLVD
City LAS VEGAS
State NV
ZIP 89107
Phone 702 870-1626
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 KARLA CUSTODIO

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