28D2228005 CLIA NUMBER - WALGREENS #06802

Laboratory Demographics

  • CLIA Code: 28D2228005
  • Facility Name: WALGREENS #06802
  • Facility Address: 15525 SPAULDING PLZ
    OMAHA, NE
    ZIP 68116
  • Facility Phone: 402 408-1078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA B. SUNDERMAN
  • NPI Number: 1992710958
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2228005
LAB Type Pharmacy
Facility Name WALGREENS #06802
Street 15525 SPAULDING PLZ
City OMAHA
State NE
ZIP 68116
Phone 402 408-1078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director LAURA B. SUNDERMAN

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