29D2226389 CLIA NUMBER - WALGREENS #04855

Laboratory Demographics

  • CLIA Code: 29D2226389
  • Facility Name: WALGREENS #04855
  • Facility Address: 6001 W CHEYENNE AVE
    LAS VEGAS, NV
    ZIP 89108
  • Facility Phone: 702 396-0917
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STANLEY B. WONG
  • NPI Number: 1760499644
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2226389
LAB Type Pharmacy
Facility Name WALGREENS #04855
Street 6001 W CHEYENNE AVE
City LAS VEGAS
State NV
ZIP 89108
Phone 702 396-0917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director STANLEY B. WONG

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