28D2020684 CLIA NUMBER - WALGREENS #10408

Laboratory Demographics

  • CLIA Code: 28D2020684
  • Facility Name: WALGREENS #10408
  • Facility Address: 4811 O STREET
    LINCOLN, NE
    ZIP 68510
  • Facility Phone: 402 489-2232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CANDICE M. NOVAK
  • NPI Number: 1487727384
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2020684
LAB Type Pharmacy
Facility Name WALGREENS #10408
Street 4811 O STREET
City LINCOLN
State NE
ZIP 68510
Phone 402 489-2232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
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