29D2248422 CLIA NUMBER - VONS PHARMACY#2614

Laboratory Demographics

  • CLIA Code: 29D2248422
  • Facility Name: VONS PHARMACY#2614
  • Facility Address: 7405 S DURANGO DR
    LAS VEGAS, NV
    ZIP 89113
  • Facility Phone: 702 407-2524
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KERRI-ANN SIU BALA
  • NPI Number: 1982633913
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2248422
LAB Type Pharmacy
Facility Name VONS PHARMACY#2614
Street 7405 S DURANGO DR
City LAS VEGAS
State NV
ZIP 89113
Phone 702 407-2524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Pharmacy
Lab Director KERRI-ANN SIU BALA

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