CLIA lab

CLIA 28D2093636: Kohll's RX Store 3

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

CLIA number 28D2093636 belongs to Kohll's RX Store 3 in Lincoln, NE.

Certificate of Waiver, effective March 31, 2025, expires March 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
March 31, 2025
Certificate expiration
March 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 31, 2015
Facility type
Independent
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
7

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

Lab and contact

CLIA number
28D2093636
Lab name
Kohll's RX Store 3
Address
3333 O Street, Lincoln, NE 68510
Phone
(402) 476-3342
Fax
(402) 476-3342

Annual test volume the lab reported

Waived tests
120

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

Affiliated CLIA numbers

Other labs in Lincoln, NE

Related

Questions

What is the CLIA number for Kohll's RX Store 3 in Lincoln?

28D2093636, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kohll's RX Store 3 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2093636 expire?

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

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