28D1096248 CLIA NUMBER - HY-VEE PHARMACY #2 (1466)

Laboratory Demographics

  • CLIA Code: 28D1096248
  • Facility Name: HY-VEE PHARMACY #2 (1466)
  • Facility Address: 14591 STONY BROOK BLVD
    OMAHA, NE
    ZIP 68137
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY OEHLERKING
  • NPI Number: 1336184712
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1096248
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #2 (1466)
Street 14591 STONY BROOK BLVD
City OMAHA
State NE
ZIP 68137
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 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Pharmacy
Lab Director LINDSAY OEHLERKING

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