28D0959478 CLIA NUMBER - BAKER'S PHARMACY #311

Laboratory Demographics

  • CLIA Code: 28D0959478
  • Facility Name: BAKER'S PHARMACY #311
  • Facility Address: 5555 NORTH 90TH STREET
    OMAHA, NE
    ZIP 68134
  • Facility Phone: 402 573-0947
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MICKE ROBERTS
  • NPI Number: 1720028541
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D0959478
LAB Type Pharmacy
Facility Name BAKER'S PHARMACY #311
Street 5555 NORTH 90TH STREET
City OMAHA
State NE
ZIP 68134
Phone 402 573-0947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Pharmacy
Lab Director MS. MICKE ROBERTS

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