28D2179487 CLIA NUMBER - U SAVE PHARMACY 4TH ST

Laboratory Demographics

  • CLIA Code: 28D2179487
  • Facility Name: U SAVE PHARMACY 4TH ST
  • Facility Address: 423 W 4TH STREET
    GRAND ISLAND, NE
    ZIP 68801
  • Facility Phone: 308 384-7372
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSE S. GUERRERO
  • NPI Number: 1780994566
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2179487
LAB Type Pharmacy
Facility Name U SAVE PHARMACY 4TH ST
Street 423 W 4TH STREET
City GRAND ISLAND
State NE
ZIP 68801
Phone 308 384-7372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Pharmacy
Lab Director JOSE S. GUERRERO

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