28D2160032 CLIA NUMBER - WALMART PHARMACY 10-4600

Laboratory Demographics

  • CLIA Code: 28D2160032
  • Facility Name: WALMART PHARMACY 10-4600
  • Facility Address: 11350 WICKERSHAM BLVD
    GRETNA, NE
    ZIP 68028
  • Facility Phone: 402 881-3687
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROCK A. SOLBERG
  • NPI Number: 1689988859
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2160032
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4600
Street 11350 WICKERSHAM BLVD
City GRETNA
State NE
ZIP 68028
Phone 402 881-3687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Pharmacy
Lab Director BROCK A. SOLBERG

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