29D2252478 CLIA NUMBER - VONS PHARMACY #1795

Laboratory Demographics

  • CLIA Code: 29D2252478
  • Facility Name: VONS PHARMACY #1795
  • Facility Address: 2511 ANTHEM VILLAGE DR
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 617-4526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAN T YANCY
  • NPI Number: 1194761957
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2252478
LAB Type Pharmacy
Facility Name VONS PHARMACY #1795
Street 2511 ANTHEM VILLAGE DR
City HENDERSON
State NV
ZIP 89052
Phone 702 617-4526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Pharmacy
Lab Director LAN T YANCY

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