28D2062852 CLIA NUMBER - WALGREENS #11957

Laboratory Demographics

  • CLIA Code: 28D2062852
  • Facility Name: WALGREENS #11957
  • Facility Address: 1260 WASHINGTON STREET
    BLAIR, NE
    ZIP 68008
  • Facility Phone: 402 533-8444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHASE DENDINGER
  • NPI Number: 1275796807
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2062852
LAB Type Pharmacy
Facility Name WALGREENS #11957
Street 1260 WASHINGTON STREET
City BLAIR
State NE
ZIP 68008
Phone 402 533-8444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director CHASE DENDINGER

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