28D2012920 CLIA NUMBER - WALGREENS #03621

Laboratory Demographics

  • CLIA Code: 28D2012920
  • Facility Name: WALGREENS #03621
  • Facility Address: 9001 BLONDO STREET
    OMAHA, NE
    ZIP 68134
  • Facility Phone: 402 393-8056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEELA CHIGURUPATI
  • NPI Number: 1700891744
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2012920
LAB Type Pharmacy
Facility Name WALGREENS #03621
Street 9001 BLONDO STREET
City OMAHA
State NE
ZIP 68134
Phone 402 393-8056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director NEELA CHIGURUPATI

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