28D2289632 CLIA NUMBER - WALGREENS 02845

Laboratory Demographics

  • CLIA Code: 28D2289632
  • Facility Name: WALGREENS 02845
  • Facility Address: 5701 VILLAGE BLVD
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 421-7119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT A. HULA
  • NPI Number: 1184639130
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2289632
LAB Type Pharmacy
Facility Name WALGREENS 02845
Street 5701 VILLAGE BLVD
City LINCOLN
State NE
ZIP 68516
Phone 402 421-7119
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 SCOTT A. HULA

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