29D2242038 CLIA NUMBER - WALGREENS 04755

Laboratory Demographics

  • CLIA Code: 29D2242038
  • Facility Name: WALGREENS 04755
  • Facility Address: 3480 S JONES BLVD
    LAS VEGAS, NV
    ZIP 89146
  • Facility Phone: 702 871-1405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1396752275
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2242038
LAB Type Pharmacy
Facility Name WALGREENS 04755
Street 3480 S JONES BLVD
City LAS VEGAS
State NV
ZIP 89146
Phone 702 871-1405
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 JAYSON A. WEIR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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