28D2191480 CLIA NUMBER - KOHLL'S RX STORE 7 - CRIS'

Laboratory Demographics

  • CLIA Code: 28D2191480
  • Facility Name: KOHLL'S RX STORE 7 - CRIS'
  • Facility Address: 5002 DODGE STREET
    OMAHA, NE
    ZIP 68132
  • Facility Phone: 402 973-1914
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DENISE WHITE
  • NPI Number: 1750856704
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2191480
LAB Type Independent
Facility Name KOHLL'S RX STORE 7 - CRIS'
Street 5002 DODGE STREET
City OMAHA
State NE
ZIP 68132
Phone 402 973-1914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Independent
Lab Director DENISE WHITE

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