16D0970989 CLIA NUMBER - HY-VEE PHARMACY #3 - 1889

Laboratory Demographics

  • CLIA Code: 16D0970989
  • Facility Name: HY-VEE PHARMACY #3 - 1889
  • Facility Address: 1725 JORDAN CREEK PARKWAY
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 226-8921
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLYN LEWARNE
  • NPI Number: 1598792160
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0970989
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 - 1889
Street 1725 JORDAN CREEK PARKWAY
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 226-8921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Pharmacy
Lab Director CAROLYN LEWARNE

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