28D2289626 CLIA NUMBER - WALGREENS 00541

Laboratory Demographics

  • CLIA Code: 28D2289626
  • Facility Name: WALGREENS 00541
  • Facility Address: 1301 O ST
    LINCOLN, NE
    ZIP 68508
  • Facility Phone: 402 476-6898
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD D. REZAC
  • NPI Number: 1538174578
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2289626
LAB Type Pharmacy
Facility Name WALGREENS 00541
Street 1301 O ST
City LINCOLN
State NE
ZIP 68508
Phone 402 476-6898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director RONALD D. REZAC

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