29D2227105 CLIA NUMBER - WALGREENS #10783

Laboratory Demographics

  • CLIA Code: 29D2227105
  • Facility Name: WALGREENS #10783
  • Facility Address: 6495 N DECATUR BLVD
    LAS VEGAS, NV
    ZIP 89131
  • Facility Phone: 702 395-4230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE LEE
  • NPI Number: 1134302268
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2227105
LAB Type Pharmacy
Facility Name WALGREENS #10783
Street 6495 N DECATUR BLVD
City LAS VEGAS
State NV
ZIP 89131
Phone 702 395-4230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director JULIE LEE

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