28D2222001 CLIA NUMBER - WALGREENS #04088

Laboratory Demographics

  • CLIA Code: 28D2222001
  • Facility Name: WALGREENS #04088
  • Facility Address: 2502 N 48TH ST
    LINCOLN, NE
    ZIP 68504
  • Facility Phone: 402 466-1424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERNEST DODGE
  • NPI Number: 1982619920
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2222001
LAB Type Pharmacy
Facility Name WALGREENS #04088
Street 2502 N 48TH ST
City LINCOLN
State NE
ZIP 68504
Phone 402 466-1424
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 ERNEST DODGE

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