28D2012922 CLIA NUMBER - WALGREENS #03467

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Laboratory Demographics

CLIA Number: 28D2012922

Facility Name: WALGREENS #03467

Facility Address:
1515 WEST 2ND STREET
GRAND ISLAND, NE
ZIP 68801
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Facility Phone Number: (308) 384-8290

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1437164472

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	28D2012922
LAB Type	PHARMACY
Facility Name	WALGREENS #03467
Street	1515 WEST 2ND STREET
City	GRAND ISLAND
State	NE
ZIP	68801
Phone	(308) 384-8290

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This page was last updated on: 5/11/2023