28D1091427 CLIA NUMBER - HY-VEE PHARMACY #1 (1385)

Laboratory Demographics

  • CLIA Code: 28D1091427
  • Facility Name: HY-VEE PHARMACY #1 (1385)
  • Facility Address: 5010 O STREET
    LINCOLN, NE
    ZIP 68510
  • Facility Phone: 402 465-0413
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL LOOS
  • NPI Number: 1306092242
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1091427
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 (1385)
Street 5010 O STREET
City LINCOLN
State NE
ZIP 68510
Phone 402 465-0413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Pharmacy
Lab Director JILL LOOS

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