28D1078993 CLIA NUMBER - HYVEE EAST PHARMACY #1460

Laboratory Demographics

  • CLIA Code: 28D1078993
  • Facility Name: HYVEE EAST PHARMACY #1460
  • Facility Address: 120 E NORFOLK AVENUE
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 371-0610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOAN A. DAVIS
  • NPI Number: 1184669590
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1078993
LAB Type Pharmacy
Facility Name HYVEE EAST PHARMACY #1460
Street 120 E NORFOLK AVENUE
City NORFOLK
State NE
ZIP 68701
Phone 402 371-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Pharmacy
Lab Director JOAN A. DAVIS

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