29D2252509 CLIA NUMBER - VONS PHARMACY #2615

Laboratory Demographics

  • CLIA Code: 29D2252509
  • Facility Name: VONS PHARMACY #2615
  • Facility Address: 45 E HORIZON RIDGE PKWY
    HENDERSON, NV
    ZIP 89002
  • Facility Phone: 702 564-1425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN CHANG
  • NPI Number: 1518996545
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2252509
LAB Type Pharmacy
Facility Name VONS PHARMACY #2615
Street 45 E HORIZON RIDGE PKWY
City HENDERSON
State NV
ZIP 89002
Phone 702 564-1425
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 KEVIN CHANG

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