16D0993869 CLIA NUMBER - HY-VEE PHARMACY #1522

Laboratory Demographics

  • CLIA Code: 16D0993869
  • Facility Name: HY-VEE PHARMACY #1522
  • Facility Address: 1215 141ST STREET
    PERRY, IA
    ZIP 50220
  • Facility Phone: 515 465-3543
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACEY L. BENNETT
  • NPI Number: 1982630364
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0993869
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1522
Street 1215 141ST STREET
City PERRY
State IA
ZIP 50220
Phone 515 465-3543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director TRACEY L. BENNETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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