28D2013006 CLIA NUMBER - WALGREENS #04974

Laboratory Demographics

  • CLIA Code: 28D2013006
  • Facility Name: WALGREENS #04974
  • Facility Address: 5038 CENTER STREET
    OMAHA, NE
    ZIP 68106
  • Facility Phone: 402 551-6205
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. ALLEE
  • NPI Number: 1619982667
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2013006
LAB Type Pharmacy
Facility Name WALGREENS #04974
Street 5038 CENTER STREET
City OMAHA
State NE
ZIP 68106
Phone 402 551-6205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director ANTHONY J. ALLEE

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