14D1096893 CLIA NUMBER - HYVEE PHARMACY 1549

Laboratory Demographics

  • CLIA Code: 14D1096893
  • Facility Name: HYVEE PHARMACY 1549
  • Facility Address: 2930 18TH AVE
    ROCK ISLAND, IL
    ZIP 61201
  • Facility Phone: 309 788-7434
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: ANNA E. SCHAFER
  • NPI Number: 1285676791
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1096893
LAB Type Industrial
Facility Name HYVEE PHARMACY 1549
Street 2930 18TH AVE
City ROCK ISLAND
State IL
ZIP 61201
Phone 309 788-7434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Industrial
Lab Director ANNA E. SCHAFER

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