28D1079000 CLIA NUMBER - HY-VEE PHARMACY #6 (1535)

Laboratory Demographics

  • CLIA Code: 28D1079000
  • Facility Name: HY-VEE PHARMACY #6 (1535)
  • Facility Address: 9707 Q STREET
    OMAHA, NE
    ZIP 68127
  • Facility Phone: (402) 339-3054
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. COURTNEY B. DONALDSON
  • NPI Number: 1598700643
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1079000
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #6 (1535)
Street 9707 Q STREET
City OMAHA
State NE
ZIP 68127
Phone 4023393054
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 MS. COURTNEY B. DONALDSON

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