28D2012925 CLIA NUMBER - WALGREENS 01430

Laboratory Demographics

  • CLIA Code: 28D2012925
  • Facility Name: WALGREENS 01430
  • Facility Address: 1701 SOUTH STREET
    LINCOLN, NE
    ZIP 68502
  • Facility Phone: 402 435-3271
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CANDICE M. NOVAK
  • NPI Number: 1891700845
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2012925
LAB Type Pharmacy
Facility Name WALGREENS 01430
Street 1701 SOUTH STREET
City LINCOLN
State NE
ZIP 68502
Phone 402 435-3271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director CANDICE M. NOVAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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