16D1008962 CLIA NUMBER - HY-VEE PHARMACY #3 - 1615

Laboratory Demographics

  • CLIA Code: 16D1008962
  • Facility Name: HY-VEE PHARMACY #3 - 1615
  • Facility Address: 3301 EAST GORDON DRIVE
    SIOUX CITY, IA
    ZIP 51105
  • Facility Phone: 712 234-1949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY ENGLE
  • NPI Number: 1316356827
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1008962
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 - 1615
Street 3301 EAST GORDON DRIVE
City SIOUX CITY
State IA
ZIP 51105
Phone 712 234-1949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Pharmacy
Lab Director ASHLEY ENGLE

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