28D1058674 CLIA NUMBER - HY-VEE PHARMACY #3 (1387)

Laboratory Demographics

  • CLIA Code: 28D1058674
  • Facility Name: HY-VEE PHARMACY #3 (1387)
  • Facility Address: 5020 NORTH 27TH STREET
    LINCOLN, NE
    ZIP 68521
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLE BOGGS
  • NPI Number: 1962447318
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1058674
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 (1387)
Street 5020 NORTH 27TH STREET
City LINCOLN
State NE
ZIP 68521
Phone 515 559-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Pharmacy
Lab Director NICHOLE BOGGS

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