28D2150488 CLIA NUMBER - ALLIANCE COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 28D2150488
  • Facility Name: ALLIANCE COMMUNITY PHARMACY
  • Facility Address: 2409 BOX BUTTE AVENUE
    ALLIANCE, NE
    ZIP 69301
  • Facility Phone: 308 629-1045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. TIMOTHY R. KOTSCHWAR
  • NPI Number: 1073001244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2150488
LAB Type Pharmacy
Facility Name ALLIANCE COMMUNITY PHARMACY
Street 2409 BOX BUTTE AVENUE
City ALLIANCE
State NE
ZIP 69301
Phone 308 629-1045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Pharmacy
Lab Director MR. TIMOTHY R. KOTSCHWAR

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