28D0976000 CLIA NUMBER - BAKER'S PHARMACY #315

Laboratory Demographics

  • CLIA Code: 28D0976000
  • Facility Name: BAKER'S PHARMACY #315
  • Facility Address: 13250 W MAPLE RD
    OMAHA, NE
    ZIP 68164
  • Facility Phone: 402 965-8339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT M. TOMASU
  • NPI Number: 1174564520
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D0976000
LAB Type Pharmacy
Facility Name BAKER'S PHARMACY #315
Street 13250 W MAPLE RD
City OMAHA
State NE
ZIP 68164
Phone 402 965-8339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Pharmacy
Lab Director ROBERT M. TOMASU

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