29D2227951 CLIA NUMBER - WALGREENS #10782

Laboratory Demographics

  • CLIA Code: 29D2227951
  • Facility Name: WALGREENS #10782
  • Facility Address: 5610 CENTENNIAL CENTER BLVD
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 395-3282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLLIN D. MOULD
  • NPI Number: 1245402916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2227951
LAB Type Pharmacy
Facility Name WALGREENS #10782
Street 5610 CENTENNIAL CENTER BLVD
City LAS VEGAS
State NV
ZIP 89149
Phone 702 395-3282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director COLLIN D. MOULD

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