29D2227319 CLIA NUMBER - WALGREENS #07450

Laboratory Demographics

  • CLIA Code: 29D2227319
  • Facility Name: WALGREENS #07450
  • Facility Address: 4875 S FORT APACHE RD
    LAS VEGAS, NV
    ZIP 89147
  • Facility Phone: 702 873-5165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNH TRAN
  • NPI Number: 1366457335
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2227319
LAB Type Pharmacy
Facility Name WALGREENS #07450
Street 4875 S FORT APACHE RD
City LAS VEGAS
State NV
ZIP 89147
Phone 702 873-5165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2023
Certificate Expiration Date 6/9/2025
Facility Type Pharmacy
Lab Director HUNH TRAN

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This page was last updated on: 3/20/2025