28D2032169 CLIA NUMBER - HY-VEE PHARMACY #11 (1478)

Laboratory Demographics

  • CLIA Code: 28D2032169
  • Facility Name: HY-VEE PHARMACY #11 (1478)
  • Facility Address: 1000 SOUTH 178TH STREET
    OMAHA, NE
    ZIP 68118
  • Facility Phone: 402 334-4922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSI D. JUNGE
  • NPI Number: 1346521168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2032169
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #11 (1478)
Street 1000 SOUTH 178TH STREET
City OMAHA
State NE
ZIP 68118
Phone 402 334-4922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Pharmacy
Lab Director KELSI D. JUNGE

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