16D0992522 CLIA NUMBER - HY-VEE PHARMACY (1224)

Laboratory Demographics

  • CLIA Code: 16D0992522
  • Facility Name: HY-VEE PHARMACY (1224)
  • Facility Address: 351 NE GATEWAY DR
    GRIMES, IA
    ZIP 50111
  • Facility Phone: (515) 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN JENSEN
  • NPI Number: 1447292081
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0992522
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1224)
Street 351 NE GATEWAY DR
City GRIMES
State IA
ZIP 50111
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 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Pharmacy
Lab Director ERIN JENSEN

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This page was last updated on: 5/15/2026