28D2110451 CLIA NUMBER - SAFEWAY PHARMACY #0557

Laboratory Demographics

  • CLIA Code: 28D2110451
  • Facility Name: SAFEWAY PHARMACY #0557
  • Facility Address: 611 NORTH SPRUCE STREET
    OGALLALA, NE
    ZIP 69153
  • Facility Phone: 308 284-3670
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KATE L. WALZ
  • NPI Number: 1912936931
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2110451
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0557
Street 611 NORTH SPRUCE STREET
City OGALLALA
State NE
ZIP 69153
Phone 308 284-3670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Pharmacy
Lab Director MS. KATE L. WALZ

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