28D2037623 CLIA NUMBER - WALGREENS #10892

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Laboratory Demographics

CLIA Number: 28D2037623

Facility Name: WALGREENS #10892

Facility Address:
533 SOUTH LINCOLN AVENUE
YORK, NE
ZIP 68467
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Facility Phone Number: 402 362-1280

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346431285

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	28D2037623
LAB Type	Pharmacy
Facility Name	WALGREENS #10892
Street	533 SOUTH LINCOLN AVENUE
City	YORK
State	NE
ZIP	68467
Phone	402 362-1280
CertificateType	4
CertificateEffectiveDate	5/21/2023
CertificateExpirationDate	5/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024