CLIA lab

CLIA 28D1104298: Bakers Pharmacy #300

Bellevue, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 28D1104298 belongs to Bakers Pharmacy #300 in Bellevue, NE.

Certificate of Waiver, effective August 31, 2025, expires August 30, 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 31, 2025
Certificate expiration
August 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 31, 2009
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
28D1104298
Lab name
Bakers Pharmacy #300
Address
3614 Twin Creek Drive, Bellevue, NE 68123
Phone
(402) 292-3580
Fax
(402) 292-2419

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Bakers Pharmacy #300 in Bellevue?

28D1104298, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bakers Pharmacy #300 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D1104298 expire?

The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.

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