16D0992805 CLIA NUMBER - HY-VEE PHARMACY #2 - 1023

Laboratory Demographics

  • CLIA Code: 16D0992805
  • Facility Name: HY-VEE PHARMACY #2 - 1023
  • Facility Address: 2510 SW STATE STREET
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 964-0656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEN MUNDT
  • NPI Number: 1790727311
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0992805
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #2 - 1023
Street 2510 SW STATE STREET
City ANKENY
State IA
ZIP 50023
Phone 515 964-0656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director BEN MUNDT

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