29D2226391 CLIA NUMBER - WALGREENS #02590

Laboratory Demographics

  • CLIA Code: 29D2226391
  • Facility Name: WALGREENS #02590
  • Facility Address: 6435 ALIANTE PKWY
    N LAS VEGAS, NV
    ZIP 89084
  • Facility Phone: 702 657-6508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER A. RIS JR
  • NPI Number: 1487693040
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2226391
LAB Type Pharmacy
Facility Name WALGREENS #02590
Street 6435 ALIANTE PKWY
City N LAS VEGAS
State NV
ZIP 89084
Phone 702 657-6508
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 PETER A. RIS JR

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