16D1006180 CLIA NUMBER - HY-VEE PHARMACY #1759

Laboratory Demographics

  • CLIA Code: 16D1006180
  • Facility Name: HY-VEE PHARMACY #1759
  • Facility Address: 8701 DOUGLAS AVENUE
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 515 270-2225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROOKE HARTKOPF
  • NPI Number: 1053469114
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 16D1006180
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1759
Street 8701 DOUGLAS AVENUE
City URBANDALE
State IA
ZIP 50322
Phone 515 270-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Pharmacy
Lab Director BROOKE HARTKOPF

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