16D0975307 CLIA NUMBER - HY-VEE PHARMACY #3 - 1288

Laboratory Demographics

  • CLIA Code: 16D0975307
  • Facility Name: HY-VEE PHARMACY #3 - 1288
  • Facility Address: 1125 N DODGE ST
    IOWA CITY, IA
    ZIP 52245
  • Facility Phone: (515) 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELLEN PETERS
  • NPI Number: 1487683728
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0975307
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 - 1288
Street 1125 N DODGE ST
City IOWA CITY
State IA
ZIP 52245
Phone 5155595708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Pharmacy
Lab Director ELLEN PETERS

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This page was last updated on: 5/18/2026