28D0992074 CLIA NUMBER - WALGREENS PHARMACY #05143

Laboratory Demographics

  • CLIA Code: 28D0992074
  • Facility Name: WALGREENS PHARMACY #05143
  • Facility Address: 7151 CASS STREET
    OMAHA, NE
    ZIP 68132
  • Facility Phone: 402 558-8551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUAN T. PHAN
  • NPI Number: 1356356398
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D0992074
LAB Type Pharmacy
Facility Name WALGREENS PHARMACY #05143
Street 7151 CASS STREET
City OMAHA
State NE
ZIP 68132
Phone 402 558-8551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director LUAN T. PHAN

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