28D1078997 CLIA NUMBER - HY-VEE PHARMACY #1 (1465)

Laboratory Demographics

  • CLIA Code: 28D1078997
  • Facility Name: HY-VEE PHARMACY #1 (1465)
  • Facility Address: 5150 CENTER STREET
    OMAHA, NE
    ZIP 68106
  • Facility Phone: 402 413-4143
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE A. YOUNG
  • NPI Number: 1720023187
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1078997
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 (1465)
Street 5150 CENTER STREET
City OMAHA
State NE
ZIP 68106
Phone 402 413-4143
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 KYLE A. YOUNG

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This page was last updated on: 3/20/2025