28D2055290 CLIA NUMBER - WALGREENS #15237

Laboratory Demographics

  • CLIA Code: 28D2055290
  • Facility Name: WALGREENS #15237
  • Facility Address: 2929 NORTH 60TH STREET
    OMAHA, NE
    ZIP 68104
  • Facility Phone: 402 551-6151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICK KOLIOPOULOS
  • NPI Number: 1265447205
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2055290
LAB Type Pharmacy
Facility Name WALGREENS #15237
Street 2929 NORTH 60TH STREET
City OMAHA
State NE
ZIP 68104
Phone 402 551-6151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director NICK KOLIOPOULOS

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