28D1079008 CLIA NUMBER - HY-VEE PHARMACY #4 (1467)

Laboratory Demographics

  • CLIA Code: 28D1079008
  • Facility Name: HY-VEE PHARMACY #4 (1467)
  • Facility Address: 10808 FORT STREET
    OMAHA, NE
    ZIP 68164
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSELYN GIAFFOGLIONE
  • NPI Number: 1881639938
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1079008
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #4 (1467)
Street 10808 FORT STREET
City OMAHA
State NE
ZIP 68164
Phone 515 559-5708
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 JOSELYN GIAFFOGLIONE

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