28D2220662 CLIA NUMBER - NEBRASKA CVS PHARMACY, LLC DBA CVS/PHARMACY #02931

Laboratory Demographics

  • CLIA Code: 28D2220662
  • Facility Name: NEBRASKA CVS PHARMACY, LLC DBA CVS/PHARMACY #02931
  • Facility Address: 14303 U STREET
    OMAHA, NE
    ZIP 68137
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY KECHELY
  • NPI Number: 1124562699
  • Taxonomy: 152WV0400X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 28D2220662
LAB Type Pharmacy
Facility Name NEBRASKA CVS PHARMACY, LLC DBA CVS/PHARMACY #02931
Street 14303 U STREET
City OMAHA
State NE
ZIP 68137
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director MARY KECHELY

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