16D0996677 CLIA NUMBER - HY-VEE PHARMACY #1530

Laboratory Demographics

  • CLIA Code: 16D0996677
  • Facility Name: HY-VEE PHARMACY #1530
  • Facility Address: 4815 MAPLE DRIVE
    PLEASANT HILL, IA
    ZIP 50327
  • Facility Phone: 515 265-6144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN KLEIN
  • NPI Number: 1881620276
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0996677
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1530
Street 4815 MAPLE DRIVE
City PLEASANT HILL
State IA
ZIP 50327
Phone 515 265-6144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Pharmacy
Lab Director JUSTIN KLEIN

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