CLIA lab
CLIA 28D1007551: Hy-Vee Pharmacy (1620)
South Sioux City, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1007551 belongs to Hy-Vee Pharmacy (1620) in South Sioux City, NE.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 2002
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 28D1007551
- Lab name
- Hy-Vee Pharmacy (1620)
- Address
- 2501 Cornhusker Drive, South Sioux City, NE 68776
- Phone
- (402) 494-3021
- Fax
- (402) 494-4969
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in South Sioux City, NE
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- Adept Nursing & Rehab of South Sioux City AssistedCertificate of Waiver, Skilled nursing or nursing facility28D2225565
- Cnos, PCCertificate for Provider-Performed Microscopy Procedures, Physician office16D2210351
- Continental Springs Nursing Rehabilitation SeniorCertificate of Waiver, Assisted living facility28D0652649
- Family Healthcare of Siouxland-South Sioux CityCertificate of Compliance, Physician office28D0455670
- Riverview Surgical Center LLCCertificate of Waiver, Ambulatory surgery center28D2167505
- ST Croix HospiceCertificate of Waiver, Hospice28D2028270
- Siouxland Community Health CenterCertificate of Waiver, Federally qualified health center16D2067942
- Siouxland Mental Health Center Nebraska ClinicCertificate of Waiver, Community clinic28D2314519
- South Sioux City Fire DepartmentCertificate of Waiver, Ambulance28D0999760
Related
Questions
What is the CLIA number for Hy-Vee Pharmacy (1620) in South Sioux City?
28D1007551, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy (1620) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1007551 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.