28D2132712 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6413

Laboratory Demographics

  • CLIA Code: 28D2132712
  • Facility Name: SAM'S CLUB PHARMACY 10-6413
  • Facility Address: 4900 N 27TH STREET
    LINCOLN, NE
    ZIP 68521
  • Facility Phone: 402 438-3015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE M. DAHL
  • NPI Number: 1205926458
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2132712
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6413
Street 4900 N 27TH STREET
City LINCOLN
State NE
ZIP 68521
Phone 402 438-3015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Pharmacy
Lab Director CHRISTINE M. DAHL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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