28D2012919 CLIA NUMBER - WALGREENS #03716

Laboratory Demographics

  • CLIA Code: 28D2012919
  • Facility Name: WALGREENS #03716
  • Facility Address: 2516 2ND AVENUE
    KEARNEY, NE
    ZIP 68847
  • Facility Phone: 308 236-8547
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KERSTIN K. HAKL
  • NPI Number: 1699786822
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2012919
LAB Type Pharmacy
Facility Name WALGREENS #03716
Street 2516 2ND AVENUE
City KEARNEY
State NE
ZIP 68847
Phone 308 236-8547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director KERSTIN K. HAKL

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