28D2006286 CLIA NUMBER - HY-VEE PHARMACY #8 (1471)

Laboratory Demographics

  • CLIA Code: 28D2006286
  • Facility Name: HY-VEE PHARMACY #8 (1471)
  • Facility Address: 747 N 132ND STREET
    OMAHA, NE
    ZIP 68154
  • Facility Phone: 402 493-2911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELLEN PETERS
  • NPI Number: 1942245097
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2006286
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #8 (1471)
Street 747 N 132ND STREET
City OMAHA
State NE
ZIP 68154
Phone 402 493-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Pharmacy
Lab Director ELLEN PETERS

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