16D0993871 CLIA NUMBER - HY-VEE PHARMACY #1 - 1136

Laboratory Demographics

  • CLIA Code: 16D0993871
  • Facility Name: HY-VEE PHARMACY #1 - 1136
  • Facility Address: 3330 MARTIN LUTHER KING JR EXPRESSWAY
    DES MOINES, IA
    ZIP 50310
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY RAY
  • NPI Number: 1760418941
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0993871
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 - 1136
Street 3330 MARTIN LUTHER KING JR EXPRESSWAY
City DES MOINES
State IA
ZIP 50310
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 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Pharmacy
Lab Director KIMBERLY RAY

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