16D0999304 CLIA NUMBER - HY-VEE PHARMACY #1619

Laboratory Demographics

  • CLIA Code: 16D0999304
  • Facility Name: HY-VEE PHARMACY #1619
  • Facility Address: 500 SOUTH FREMONT STREET
    SHENANDOAH, IA
    ZIP 51601
  • Facility Phone: 712 246-3440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER STEELE
  • NPI Number: 1952586976
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0999304
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1619
Street 500 SOUTH FREMONT STREET
City SHENANDOAH
State IA
ZIP 51601
Phone 712 246-3440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER STEELE

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