28D2012924 CLIA NUMBER - WALGREENS #03182

Laboratory Demographics

  • CLIA Code: 28D2012924
  • Facility Name: WALGREENS #03182
  • Facility Address: 7045 O STREET
    LINCOLN, NE
    ZIP 68510
  • Facility Phone: 402 484-8222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CASEY KOIZUMI
  • NPI Number: 1447265483
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2012924
LAB Type Pharmacy
Facility Name WALGREENS #03182
Street 7045 O STREET
City LINCOLN
State NE
ZIP 68510
Phone 402 484-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director MS. CASEY KOIZUMI

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