29D2244959 CLIA NUMBER - TANGO PHARMACY

Laboratory Demographics

  • CLIA Code: 29D2244959
  • Facility Name: TANGO PHARMACY
  • Facility Address: 4090 W CRAIG RD STE 101
    N LAS VEGAS, NV
    ZIP 89032
  • Facility Phone: 702 636-2054
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBENSON APIBO-TANGO
  • NPI Number: 1306385877
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2244959
LAB Type Pharmacy
Facility Name TANGO PHARMACY
Street 4090 W CRAIG RD STE 101
City N LAS VEGAS
State NV
ZIP 89032
Phone 702 636-2054
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 ROBENSON APIBO-TANGO

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