28D2223813 CLIA NUMBER - WALGREENS #10502

Laboratory Demographics

  • CLIA Code: 28D2223813
  • Facility Name: WALGREENS #10502
  • Facility Address: 1030 W 21ST ST
    SOUTH SIOUX CITY, NE
    ZIP 68776
  • Facility Phone: 402 494-8827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. STEELE
  • NPI Number: 1275548224
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2223813
LAB Type Pharmacy
Facility Name WALGREENS #10502
Street 1030 W 21ST ST
City SOUTH SIOUX CITY
State NE
ZIP 68776
Phone 402 494-8827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director MATTHEW J. STEELE

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