28D1060634 CLIA NUMBER - ONE WORLD PHARMACY

Laboratory Demographics

  • CLIA Code: 28D1060634
  • Facility Name: ONE WORLD PHARMACY
  • Facility Address: 4920 S 30TH STREET, SUITE 105
    OMAHA, NE
    ZIP 68107
  • Facility Phone: 402 502-5832
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA SKOLKIN
  • NPI Number: 1902837917
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1060634
LAB Type Pharmacy
Facility Name ONE WORLD PHARMACY
Street 4920 S 30TH STREET, SUITE 105
City OMAHA
State NE
ZIP 68107
Phone 402 502-5832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Pharmacy
Lab Director ANDREA SKOLKIN

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This page was last updated on: 6/4/2025