28D1078991 CLIA NUMBER - HY-VEE PHARMACY #10 (1474)

Laboratory Demographics

  • CLIA Code: 28D1078991
  • Facility Name: HY-VEE PHARMACY #10 (1474)
  • Facility Address: 3410 N 156TH STREET
    OMAHA, NE
    ZIP 68116
  • Facility Phone: 402 498-0390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ASHLEY SCHILLING
  • NPI Number: 1356378392
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1078991
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #10 (1474)
Street 3410 N 156TH STREET
City OMAHA
State NE
ZIP 68116
Phone 402 498-0390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Pharmacy
Lab Director MS. ASHLEY SCHILLING

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