16D0992384 CLIA NUMBER - HY-VEE PHARMACY #1271

Laboratory Demographics

  • CLIA Code: 16D0992384
  • Facility Name: HY-VEE PHARMACY #1271
  • Facility Address: 910 NORTH JEFFERSON WAY
    INDIANOLA, IA
    ZIP 50125
  • Facility Phone: 515 962-9444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY J. BATES
  • NPI Number: 1780610295
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0992384
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1271
Street 910 NORTH JEFFERSON WAY
City INDIANOLA
State IA
ZIP 50125
Phone 515 962-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director JEFFREY J. BATES

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