28D2013581 CLIA NUMBER - WALGREENS #12115

Laboratory Demographics

  • CLIA Code: 28D2013581
  • Facility Name: WALGREENS #12115
  • Facility Address: 2320 23RD STREET
    COLUMBUS, NE
    ZIP 68601
  • Facility Phone: 402 563-3588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS J. CARNAZZO
  • NPI Number: 1700891751
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2013581
LAB Type Pharmacy
Facility Name WALGREENS #12115
Street 2320 23RD STREET
City COLUMBUS
State NE
ZIP 68601
Phone 402 563-3588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director THOMAS J. CARNAZZO

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