29D2242937 CLIA NUMBER - WALGREENS # 04856

Laboratory Demographics

  • CLIA Code: 29D2242937
  • Facility Name: WALGREENS # 04856
  • Facility Address: 3400 BOULDER HWY
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: 702 432-6940
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAISY W ZHANG
  • NPI Number: 1033126917
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2242937
LAB Type Pharmacy
Facility Name WALGREENS # 04856
Street 3400 BOULDER HWY
City LAS VEGAS
State NV
ZIP 89121
Phone 702 432-6940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director DAISY W ZHANG

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This page was last updated on: 3/20/2025