28D2012911 CLIA NUMBER - WALGREENS #07272

Laboratory Demographics

  • CLIA Code: 28D2012911
  • Facility Name: WALGREENS #07272
  • Facility Address: 13155 WEST CENTER ROAD
    OMAHA, NE
    ZIP 68144
  • Facility Phone: 402 334-9134
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSEY E. CROSBY
  • NPI Number: 1619982659
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2012911
LAB Type Pharmacy
Facility Name WALGREENS #07272
Street 13155 WEST CENTER ROAD
City OMAHA
State NE
ZIP 68144
Phone 402 334-9134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director KELSEY E. CROSBY

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