16D0979142 CLIA NUMBER - HY-VEE PHARMACY #1080

Laboratory Demographics

  • CLIA Code: 16D0979142
  • Facility Name: HY-VEE PHARMACY #1080
  • Facility Address: HWY 6 WEST 2004 8TH ST
    CORALVILLE, IA
    ZIP 52241
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE DAHLEN
  • NPI Number: 1659308344
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0979142
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1080
Street HWY 6 WEST 2004 8TH ST
City CORALVILLE
State IA
ZIP 52241
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 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Pharmacy
Lab Director GRACE DAHLEN

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