28D2160068 CLIA NUMBER - WALMART PHARMACY 10-2432

Laboratory Demographics

  • CLIA Code: 28D2160068
  • Facility Name: WALMART PHARMACY 10-2432
  • Facility Address: 2500 JAMIE LANE
    LINCOLN, NE
    ZIP 68512
  • Facility Phone: 402 975-6174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL GUDE
  • NPI Number: 1073959862
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2160068
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2432
Street 2500 JAMIE LANE
City LINCOLN
State NE
ZIP 68512
Phone 402 975-6174
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 MICHAEL GUDE

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