28D2122493 CLIA NUMBER - WALMART PHARMACY 10-5361

Laboratory Demographics

  • CLIA Code: 28D2122493
  • Facility Name: WALMART PHARMACY 10-5361
  • Facility Address: 12850 L STREET
    OMAHA, NE
    ZIP 68137
  • Facility Phone: 402 697-1742
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED MORSY
  • NPI Number: 1871510974
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2122493
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5361
Street 12850 L STREET
City OMAHA
State NE
ZIP 68137
Phone 402 697-1742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Pharmacy
Lab Director AHMED MORSY

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