28D2014744 CLIA NUMBER - BAKER'S PHARMACY #319

Laboratory Demographics

  • CLIA Code: 28D2014744
  • Facility Name: BAKER'S PHARMACY #319
  • Facility Address: 888 SADDLECREEK
    OMAHA, NE
    ZIP 68106
  • Facility Phone: 402 556-5600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICKE ROBERTS
  • NPI Number: 1376583161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2014744
LAB Type Pharmacy
Facility Name BAKER'S PHARMACY #319
Street 888 SADDLECREEK
City OMAHA
State NE
ZIP 68106
Phone 402 556-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Pharmacy
Lab Director MICKE ROBERTS

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