28D1097789 CLIA NUMBER - HY-VEE PHARMACY #4 (1388)

Laboratory Demographics

  • CLIA Code: 28D1097789
  • Facility Name: HY-VEE PHARMACY #4 (1388)
  • Facility Address: ATTN DIETITIAN 6001 VILLAGE DRIVE
    LINCOLN, NE
    ZIP 68516
  • Facility Phone: 402 421-2462
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CASSANDRA ENGEL
  • NPI Number: 1457389819
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D1097789
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #4 (1388)
Street ATTN DIETITIAN 6001 VILLAGE DRIVE
City LINCOLN
State NE
ZIP 68516
Phone 402 421-2462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director MS. CASSANDRA ENGEL

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