CLIA lab
CLIA 28D2023645: Walgreens #12405
North Platte, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2023645 belongs to Walgreens #12405 in North Platte, NE.
Certificate of Waiver, effective May 21, 2025, expires May 20, 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
- May 21, 2025
- Certificate expiration
- May 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2011
- 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
- 28D2023645
- Lab name
- Walgreens #12405
- Address
- 102 E Philip Avenue, North Platte, NE 69101
- Phone
- (308) 532-4303
- Fax
- (402) 532-4628
Annual test volume the lab reported
- Waived tests
- 12,775
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 Walgreens #12405 in North Platte?
28D2023645, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12405 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2023645 expire?
The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.