CLIA lab

CLIA 28D2134643: Sam's Club Pharmacy 10-6181

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

CLIA number 28D2134643 belongs to Sam's Club Pharmacy 10-6181 in Papillion, NE.

Certificate of Waiver, effective August 7, 2025, expires August 6, 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 7, 2025
Certificate expiration
August 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 7, 2017
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
28D2134643
Lab name
Sam's Club Pharmacy 10-6181
Address
9851 S 71st Plaza, Papillion, NE 68133
Phone
(402) 686-2393
Fax
(402) 686-2394

Annual test volume the lab reported

Waived tests
5,000

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 Sam's Club Pharmacy 10-6181 in Papillion?

28D2134643, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sam's Club Pharmacy 10-6181 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2134643 expire?

The CMS file lists August 6, 2027 as the certificate expiration date; the certificate took effect August 7, 2025.

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