29D2244958 CLIA NUMBER - VONS PHARMACY #2511

Laboratory Demographics

  • CLIA Code: 29D2244958
  • Facility Name: VONS PHARMACY #2511
  • Facility Address: 2667 WINDMILL PKWY
    HENDERSON, NV
    ZIP 89074
  • Facility Phone: 702 361-1157
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BON RIWILIN A. ALBANA
  • NPI Number: 1386680148
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2244958
LAB Type Pharmacy
Facility Name VONS PHARMACY #2511
Street 2667 WINDMILL PKWY
City HENDERSON
State NV
ZIP 89074
Phone 702 361-1157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Pharmacy
Lab Director BON RIWILIN A. ALBANA

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