29D2242962 CLIA NUMBER - WALGREENS 07842

Laboratory Demographics

  • CLIA Code: 29D2242962
  • Facility Name: WALGREENS 07842
  • Facility Address: 3339 LAS VEGAS BLVD S
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: 702 369-8166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1902050743
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2242962
LAB Type Pharmacy
Facility Name WALGREENS 07842
Street 3339 LAS VEGAS BLVD S
City LAS VEGAS
State NV
ZIP 89109
Phone 702 369-8166
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 JAYSON A. WEIR

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