29D2242007 CLIA NUMBER - WALGREENS #07164

Laboratory Demographics

  • CLIA Code: 29D2242007
  • Facility Name: WALGREENS #07164
  • Facility Address: 101 E LAKE MEAD PKWY
    HENDERSON, NV
    ZIP 89015
  • Facility Phone: 702 566-9706
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELISCIA M. GIAMPAPA
  • NPI Number: 1184639155
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2242007
LAB Type Pharmacy
Facility Name WALGREENS #07164
Street 101 E LAKE MEAD PKWY
City HENDERSON
State NV
ZIP 89015
Phone 702 566-9706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director ELISCIA M. GIAMPAPA

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