28D0957512 CLIA NUMBER - DEINES PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 28D0957512
  • Facility Name: DEINES PHARMACY LLC
  • Facility Address: 910 COURT STREET
    BEATRICE, NE
    ZIP 68310
  • Facility Phone: 402 223-4779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MITCHELL E. DEINES
  • NPI Number: 1487654828
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D0957512
LAB Type Pharmacy
Facility Name DEINES PHARMACY LLC
Street 910 COURT STREET
City BEATRICE
State NE
ZIP 68310
Phone 402 223-4779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director MITCHELL E. DEINES

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This page was last updated on: 3/20/2025