28D1044061 CLIA NUMBER - KOHLL'S RX STORE 0 PARK AVENUE

Laboratory Demographics

Get Directions

Field Name	Field Value
CLIA Number	28D1044061
LAB Type	Independent
Facility Name	KOHLL'S RX STORE 0 PARK AVENUE
Street	2915 LEAVENWORTH STREET
City	OMAHA
State	NE
ZIP	68105
Phone	402 973-1914
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/9/2025
Certificate Expiration Date	8/8/2027
Facility Type	Independent
Lab Director	DENISE R. WHITE

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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