28D2196406 CLIA NUMBER - BLPS LLC DBA MEDICINE MAN PHARMACY

Laboratory Demographics

  • CLIA Code: 28D2196406
  • Facility Name: BLPS LLC DBA MEDICINE MAN PHARMACY
  • Facility Address: 748 N MAIN ST
    NORTH BEND, NE
    ZIP 68649
  • Facility Phone: 402 652-3217
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JED L. LEWIS
  • NPI Number: 1285044032
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2196406
LAB Type Pharmacy
Facility Name BLPS LLC DBA MEDICINE MAN PHARMACY
Street 748 N MAIN ST
City NORTH BEND
State NE
ZIP 68649
Phone 402 652-3217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Pharmacy
Lab Director JED L. LEWIS

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