CLIA lab
CLIA 28D1044061: Kohll's RX Store 0 Park Avenue
Omaha, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1044061 belongs to Kohll's RX Store 0 Park Avenue in Omaha, NE.
Certificate of Waiver, effective August 9, 2025, expires August 8, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 9, 2025
- Certificate expiration
- August 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 9, 2005
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D1044061
- Lab name
- Kohll's RX Store 0 Park Avenue
- Address
- 2915 Leavenworth Street, Omaha, NE 68105
- Phone
- (402) 973-1914
- Fax
- (402) 895-7655
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Omaha, NE
- 3P Health Partners, LLCCertificate of Waiver, Physician office28D2142957
- Adorn Senior Home Care LLCCertificate of Waiver, Home health agency28D2270844
- Advanced Dermatology of the Midlands, PCCertificate of Compliance, Physician office28D2068808
- Advanced Dermatology of the Midlands, PCCertificate for Provider-Performed Microscopy Procedures, Physician office28D2184966
- Aegis Home Health CareCertificate of Waiver, Home health agency28D2311630
- Aegis HospiceCertificate of Waiver, Hospice28D2311635
- Aesthetic Physicians, PC DBA Sono BelloCertificate of Waiver, Physician office28D2269298
- Aksarben Village Retirement CommunityCertificate of Waiver, Assisted living facility28D2115347
- Amakes Quality Home Care IncCertificate of Waiver, Home health agency28D1095410
- Ambassador Omaha Inc, theCertificate of Waiver, Skilled nursing or nursing facility28D0716786
Related
Questions
What is the CLIA number for Kohll's RX Store 0 Park Avenue in Omaha?
28D1044061, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kohll's RX Store 0 Park Avenue hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1044061 expire?
The CMS file lists August 8, 2027 as the certificate expiration date; the certificate took effect August 9, 2025.