28D2221998 CLIA NUMBER - WALGREENS #05741

Laboratory Demographics

  • CLIA Code: 28D2221998
  • Facility Name: WALGREENS #05741
  • Facility Address: 3001 DODGE ST
    OMAHA, NE
    ZIP 68131
  • Facility Phone: 402 342-3301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YING YI LI
  • NPI Number: 1265449292
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2221998
LAB Type Pharmacy
Facility Name WALGREENS #05741
Street 3001 DODGE ST
City OMAHA
State NE
ZIP 68131
Phone 402 342-3301
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 YING YI LI

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