29D2326642 CLIA NUMBER - VONS PHARMACY #1963

Laboratory Demographics

  • CLIA Code: 29D2326642
  • Facility Name: VONS PHARMACY #1963
  • Facility Address: 1155 E TWAIN AVE
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: 702 696-1481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK NGHE
  • NPI Number: 1548206170
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2326642
LAB Type Pharmacy
Facility Name VONS PHARMACY #1963
Street 1155 E TWAIN AVE
City LAS VEGAS
State NV
ZIP 89109
Phone 702 696-1481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director PATRICK NGHE

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