28D2221894 CLIA NUMBER - WALGREENS #11355

Laboratory Demographics

  • CLIA Code: 28D2221894
  • Facility Name: WALGREENS #11355
  • Facility Address: 9512 S 71ST PLZ
    PAPILLION, NE
    ZIP 68133
  • Facility Phone: 402 408-1086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN R. POINTS
  • NPI Number: 1508095720
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2221894
LAB Type Pharmacy
Facility Name WALGREENS #11355
Street 9512 S 71ST PLZ
City PAPILLION
State NE
ZIP 68133
Phone 402 408-1086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director NATHAN R. POINTS

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