29D2241877 CLIA NUMBER - WALGREENS #11668

Laboratory Demographics

  • CLIA Code: 29D2241877
  • Facility Name: WALGREENS #11668
  • Facility Address: 6390 BOULDER HWY
    LAS VEGAS, NV
    ZIP 89122
  • Facility Phone: 702 435-6263
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN WOLDE
  • NPI Number: 1336470566
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2241877
LAB Type Pharmacy
Facility Name WALGREENS #11668
Street 6390 BOULDER HWY
City LAS VEGAS
State NV
ZIP 89122
Phone 702 435-6263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director NATHAN WOLDE

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