16D0974926 CLIA NUMBER - HYVEE PHARMACY #1 - 1281

Laboratory Demographics

  • CLIA Code: 16D0974926
  • Facility Name: HYVEE PHARMACY #1 - 1281
  • Facility Address: 1720 WATERFRONT DR
    IOWA CITY, IA
    ZIP 52240
  • Facility Phone: 319 354-7123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSH BRASE
  • NPI Number: 1083640114
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0974926
LAB Type Pharmacy
Facility Name HYVEE PHARMACY #1 - 1281
Street 1720 WATERFRONT DR
City IOWA CITY
State IA
ZIP 52240
Phone 319 354-7123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Pharmacy
Lab Director JOSH BRASE

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