29D2227041 CLIA NUMBER - WALGREENS #05862

Laboratory Demographics

  • CLIA Code: 29D2227041
  • Facility Name: WALGREENS #05862
  • Facility Address: 401 N ARROYO GRANDE BLVD
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 702 436-7106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER JOHNSON
  • NPI Number: 1528073590
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2227041
LAB Type Pharmacy
Facility Name WALGREENS #05862
Street 401 N ARROYO GRANDE BLVD
City HENDERSON
State NV
ZIP 89014
Phone 702 436-7106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director JENNIFER JOHNSON

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