29D2242951 CLIA NUMBER - WALGREENS #05015

Laboratory Demographics

  • CLIA Code: 29D2242951
  • Facility Name: WALGREENS #05015
  • Facility Address: 9305 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89123
  • Facility Phone: 702 914-9797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID J. SIDOR
  • NPI Number: 1851308738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2242951
LAB Type Pharmacy
Facility Name WALGREENS #05015
Street 9305 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89123
Phone 702 914-9797
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 DAVID J. SIDOR

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