28D2012915 CLIA NUMBER - WALGREENS #05966

Laboratory Demographics

  • CLIA Code: 28D2012915
  • Facility Name: WALGREENS #05966
  • Facility Address: 2605 SOUTH 171ST STREET
    OMAHA, NE
    ZIP 68130
  • Facility Phone: 402 697-9393
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA R. ARBOGAST
  • NPI Number: 1265447213
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2012915
LAB Type Pharmacy
Facility Name WALGREENS #05966
Street 2605 SOUTH 171ST STREET
City OMAHA
State NE
ZIP 68130
Phone 402 697-9393
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 ANGELA R. ARBOGAST

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