28D2230880 CLIA NUMBER - WALGREENS #05540

Laboratory Demographics

  • CLIA Code: 28D2230880
  • Facility Name: WALGREENS #05540
  • Facility Address: 6905 S 36TH ST
    BELLEVUE, NE
    ZIP 68147
  • Facility Phone: 402 734-7592
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARED CONNELL
  • NPI Number: 1255346292
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2230880
LAB Type Pharmacy
Facility Name WALGREENS #05540
Street 6905 S 36TH ST
City BELLEVUE
State NE
ZIP 68147
Phone 402 734-7592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director JARED CONNELL

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