29D2226393 CLIA NUMBER - WALGREENS #05369

Laboratory Demographics

  • CLIA Code: 29D2226393
  • Facility Name: WALGREENS #05369
  • Facility Address: 1500 S BOULDER HWY
    HENDERSON, NV
    ZIP 89015
  • Facility Phone: 702 567-5454
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESTELLE OLSON
  • NPI Number: 1295742179
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2226393
LAB Type Pharmacy
Facility Name WALGREENS #05369
Street 1500 S BOULDER HWY
City HENDERSON
State NV
ZIP 89015
Phone 702 567-5454
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 ESTELLE OLSON

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