CLIA lab
CLIA 28D1081928: Hy-Vee Pharmacy (1221)
Grand Island, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D1081928 belongs to Hy-Vee Pharmacy (1221) in Grand Island, NE.
Certificate of Waiver, effective March 28, 2026, expires March 27, 2028.
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
- March 28, 2026
- Certificate expiration
- March 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2008
- 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
- 28D1081928
- Lab name
- Hy-Vee Pharmacy (1221)
- Address
- 115 Wilmar Ave, Grand Island, NE 68803
- Phone
- (308) 381-0328
- Fax
- (308) 381-2685
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.
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Related
Questions
What is the CLIA number for Hy-Vee Pharmacy (1221) in Grand Island?
28D1081928, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy (1221) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D1081928 expire?
The CMS file lists March 27, 2028 as the certificate expiration date; the certificate took effect March 28, 2026.