29D2241130 CLIA NUMBER - INTEGRICARE RX PHARMACY

Laboratory Demographics

  • CLIA Code: 29D2241130
  • Facility Name: INTEGRICARE RX PHARMACY
  • Facility Address: 10605 DOUBLE R BLVD
    RENO, NV
    ZIP 89521
  • Facility Phone: 775 851-7788
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. SHEA
  • NPI Number: 1992049928
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2241130
LAB Type Pharmacy
Facility Name INTEGRICARE RX PHARMACY
Street 10605 DOUBLE R BLVD
City RENO
State NV
ZIP 89521
Phone 775 851-7788
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 CHRISTOPHER J. SHEA

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