29D2241100 CLIA NUMBER - WALGREENS #05311

Laboratory Demographics

  • CLIA Code: 29D2241100
  • Facility Name: WALGREENS #05311
  • Facility Address: 1180 E FLAMINGO RD
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 836-9119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THERESA BURNS
  • NPI Number: 1083629059
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2241100
LAB Type Pharmacy
Facility Name WALGREENS #05311
Street 1180 E FLAMINGO RD
City LAS VEGAS
State NV
ZIP 89119
Phone 702 836-9119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director THERESA BURNS

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