14D2025685 CLIA NUMBER - HY-VEE PHARMACY (1642)

Laboratory Demographics

  • CLIA Code: 14D2025685
  • Facility Name: HY-VEE PHARMACY (1642)
  • Facility Address: 2700 DEKALB AVE
    SYCAMORE, IL
    ZIP 60178
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROOKE HORNER
  • NPI Number: 1215227673
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2025685
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1642)
Street 2700 DEKALB AVE
City SYCAMORE
State IL
ZIP 60178
Phone 515 559-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director BROOKE HORNER

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