29D2228720 CLIA NUMBER - WALGREENS 03872

Laboratory Demographics

  • CLIA Code: 29D2228720
  • Facility Name: WALGREENS 03872
  • Facility Address: 8633 W CHARLESTON BLVD
    LAS VEGAS, NV
    ZIP 89117
  • Facility Phone: 702 383-9660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1942217823
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2228720
LAB Type Pharmacy
Facility Name WALGREENS 03872
Street 8633 W CHARLESTON BLVD
City LAS VEGAS
State NV
ZIP 89117
Phone 702 383-9660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director JAYSON A. WEIR

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