28D2222002 CLIA NUMBER - WALGREENS #04443

Laboratory Demographics

  • CLIA Code: 28D2222002
  • Facility Name: WALGREENS #04443
  • Facility Address: 9001 W CENTER RD
    OMAHA, NE
    ZIP 68124
  • Facility Phone: 402 393-8451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYCIA D. PHILLIPS
  • NPI Number: 1174538110
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2222002
LAB Type Pharmacy
Facility Name WALGREENS #04443
Street 9001 W CENTER RD
City OMAHA
State NE
ZIP 68124
Phone 402 393-8451
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 ALYCIA D. PHILLIPS

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