28D2054216 CLIA NUMBER - WALGREENS #04531

Laboratory Demographics

  • CLIA Code: 28D2054216
  • Facility Name: WALGREENS #04531
  • Facility Address: 1300 WEST NORFOLK AVENUE
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 371-2340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBYN D. BAUMGARD
  • NPI Number: 1629083670
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2054216
LAB Type Pharmacy
Facility Name WALGREENS #04531
Street 1300 WEST NORFOLK AVENUE
City NORFOLK
State NE
ZIP 68701
Phone 402 371-2340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director ROBYN D. BAUMGARD

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