28D2160123 CLIA NUMBER - WALMART PHARMACY 10-3151

Laboratory Demographics

  • CLIA Code: 28D2160123
  • Facility Name: WALMART PHARMACY 10-3151
  • Facility Address: 5018 AMES AVENUE
    OMAHA, NE
    ZIP 68104
  • Facility Phone: 402 453-4919
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALE A. BREINIG
  • NPI Number: 1215360730
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2160123
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3151
Street 5018 AMES AVENUE
City OMAHA
State NE
ZIP 68104
Phone 402 453-4919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director KALE A. BREINIG

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