28D1078996 CLIA NUMBER - HY-VEE PHARMACY (1514)

Laboratory Demographics

  • CLIA Code: 28D1078996
  • Facility Name: HY-VEE PHARMACY (1514)
  • Facility Address: 11650 SOUTH 73RD STREET
    PAPILLION, NE
    ZIP 68046
  • Facility Phone: 402 597-5790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KITRAN R. GEISE
  • NPI Number: 1467679563
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1078996
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1514)
Street 11650 SOUTH 73RD STREET
City PAPILLION
State NE
ZIP 68046
Phone 402 597-5790
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 KITRAN R. GEISE

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