28D2007932 CLIA NUMBER - HY-VEE PHARMACY (1185)

Laboratory Demographics

  • CLIA Code: 28D2007932
  • Facility Name: HY-VEE PHARMACY (1185)
  • Facility Address: 840 EAST 23RD STREET
    FREMONT, NE
    ZIP 68025
  • Facility Phone: 402 453-2460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE L. MEYER
  • NPI Number: 1841235363
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2007932
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1185)
Street 840 EAST 23RD STREET
City FREMONT
State NE
ZIP 68025
Phone 402 453-2460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Pharmacy
Lab Director STEPHANIE L. MEYER

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