28D1078992 CLIA NUMBER - HY-VEE PHARMACY #5 (1470)

Laboratory Demographics

  • CLIA Code: 28D1078992
  • Facility Name: HY-VEE PHARMACY #5 (1470)
  • Facility Address: 7910 CASS STREET
    OMAHA, NE
    ZIP 68114
  • Facility Phone: (515) 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERI JEAN CARSTENS
  • NPI Number: 1881639268
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 28D1078992
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #5 (1470)
Street 7910 CASS STREET
City OMAHA
State NE
ZIP 68114
Phone 5155595708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2026
Certificate Expiration Date 1/22/2028
Facility Type Pharmacy
Lab Director TERI JEAN CARSTENS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026