28D2069859 CLIA NUMBER - HY-VEE PHARMACY (1527)

Laboratory Demographics

  • CLIA Code: 28D2069859
  • Facility Name: HY-VEE PHARMACY (1527)
  • Facility Address: 16418 WESTSIDE DRIVE
    PLATTSMOUTH, NE
    ZIP 68048
  • Facility Phone: 402 296-6900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENT W. MARBURGER
  • NPI Number: 1073941852
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2069859
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1527)
Street 16418 WESTSIDE DRIVE
City PLATTSMOUTH
State NE
ZIP 68048
Phone 402 296-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director KENT W. MARBURGER

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