28D2231120 CLIA NUMBER - WALGREENS #05059

Laboratory Demographics

  • CLIA Code: 28D2231120
  • Facility Name: WALGREENS #05059
  • Facility Address: 10725 FORT ST
    OMAHA, NE
    ZIP 68134
  • Facility Phone: 402 496-2214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TREVOR HILLMANN
  • NPI Number: 1902813934
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D2231120
LAB Type Pharmacy
Facility Name WALGREENS #05059
Street 10725 FORT ST
City OMAHA
State NE
ZIP 68134
Phone 402 496-2214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director TREVOR HILLMANN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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