28D1044641 CLIA NUMBER - HY-VEE PHARMACY #2 (1386)

Laboratory Demographics

  • CLIA Code: 28D1044641
  • Facility Name: HY-VEE PHARMACY #2 (1386)
  • Facility Address: 1601 N 84TH STREET
    LINCOLN, NE
    ZIP 68505
  • Facility Phone: 402 467-5147
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF A. WEYERS
  • NPI Number: 1700821139
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1044641
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #2 (1386)
Street 1601 N 84TH STREET
City LINCOLN
State NE
ZIP 68505
Phone 402 467-5147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Pharmacy
Lab Director JEFF A. WEYERS

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This page was last updated on: 9/29/2025