14D2037819 CLIA NUMBER - HYVEE PHARMACY #1525

Laboratory Demographics

  • CLIA Code: 14D2037819
  • Facility Name: HYVEE PHARMACY #1525
  • Facility Address: 1651 MIDTOWN RD
    PERU, IL
    ZIP 61354
  • Facility Phone: 815 223-5219
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA URBANSKI
  • NPI Number: 1437195161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037819
LAB Type Pharmacy
Facility Name HYVEE PHARMACY #1525
Street 1651 MIDTOWN RD
City PERU
State IL
ZIP 61354
Phone 815 223-5219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Pharmacy
Lab Director LAURA URBANSKI

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