29D2297503 CLIA NUMBER - WALGREENS 21159

Laboratory Demographics

  • CLIA Code: 29D2297503
  • Facility Name: WALGREENS 21159
  • Facility Address: 3821 W FLAMINGO ROAD
    LAS VEGAS, NV
    ZIP 89103
  • Facility Phone: 702 854-2178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYSON A. WEIR
  • NPI Number: 1750847869
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2297503
LAB Type Pharmacy
Facility Name WALGREENS 21159
Street 3821 W FLAMINGO ROAD
City LAS VEGAS
State NV
ZIP 89103
Phone 702 854-2178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Pharmacy
Lab Director JAYSON A. WEIR

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