16D1003298 CLIA NUMBER - HY-VEE PHARMACY #1318

Laboratory Demographics

  • CLIA Code: 16D1003298
  • Facility Name: HY-VEE PHARMACY #1318
  • Facility Address: 5750 MERLE HAY ROAD BOX 9
    JOHNSTON, IA
    ZIP 50131
  • Facility Phone: 515 270-9212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADRIAN MONTERO
  • NPI Number: 1790711463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1003298
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1318
Street 5750 MERLE HAY ROAD BOX 9
City JOHNSTON
State IA
ZIP 50131
Phone 515 270-9212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director ADRIAN MONTERO

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