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28D2218962 CLIA NUMBER - NEBRASKA CVS PHARMACY, LLC DBA CVS/PHARMACY #04033

Laboratory Demographics

CLIA Number: 28D2218962

Facility Name: NEBRASKA CVS PHARMACY, LLC DBA CVS/PHARMACY #04033

Facility Address:
5611 SOUTH 27TH ST
LINCOLN, NE
ZIP 68512
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1962458323

Taxonomy: 207XX0004X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

CLIA Record

Field Name Field Value
CLIA Number 28D2218962
LAB Type Pharmacy
Facility Name NEBRASKA CVS PHARMACY, LLC DBA CVS/PHARMACY #04033
Street 5611 SOUTH 27TH ST
City LINCOLN
State NE
ZIP 68512
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 3/31/2023
CertificateExpirationDate 3/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024