28D2012908 CLIA NUMBER - WALGREENS #09899

Laboratory Demographics

  • CLIA Code: 28D2012908
  • Facility Name: WALGREENS #09899
  • Facility Address: 1525 EAST 23RD STREET
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 721-8872
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN A. ZARUBA
  • NPI Number: 1548207996
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2012908
LAB Type Pharmacy
Facility Name WALGREENS #09899
Street 1525 EAST 23RD STREET
City FREMONT
State NE
ZIP 68025
Phone 402 721-8872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director JUSTIN A. ZARUBA

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