29D2228721 CLIA NUMBER - WALGREENS #04242

Laboratory Demographics

  • CLIA Code: 29D2228721
  • Facility Name: WALGREENS #04242
  • Facility Address: 9420 W LAKE MEAD BLVD
    LAS VEGAS, NV
    ZIP 89134
  • Facility Phone: 702 363-5247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEIRDRA LORIO
  • NPI Number: 1437164498
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2228721
LAB Type Pharmacy
Facility Name WALGREENS #04242
Street 9420 W LAKE MEAD BLVD
City LAS VEGAS
State NV
ZIP 89134
Phone 702 363-5247
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 DEIRDRA LORIO

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