29D2252491 CLIA NUMBER - VONS PHARMACY #2613

Laboratory Demographics

CLIA Number: 29D2252491

Facility Name: VONS PHARMACY #2613

Facility Address:
6450 SKY POINTE DR
LAS VEGAS, NV
ZIP 89131
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Facility Phone Number: 702 515-1821

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1609805639

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	29D2252491
LAB Type	Pharmacy
Facility Name	VONS PHARMACY #2613
Street	6450 SKY POINTE DR
City	LAS VEGAS
State	NV
ZIP	89131
Phone	702 515-1821
CertificateType	4
CertificateEffectiveDate	2/11/2024
CertificateExpirationDate	2/10/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024