16D1011827 CLIA NUMBER - HY-VEE PHARMACY #1 - 1054

Laboratory Demographics

  • CLIA Code: 16D1011827
  • Facility Name: HY-VEE PHARMACY #1 - 1054
  • Facility Address: 1843 JOHNSON AVENUE NW
    CEDAR RAPIDS, IA
    ZIP 52405
  • Facility Phone: 319 365-5343
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYNTHIA QUAAS
  • NPI Number: 1063440550
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1011827
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 - 1054
Street 1843 JOHNSON AVENUE NW
City CEDAR RAPIDS
State IA
ZIP 52405
Phone 319 365-5343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director CYNTHIA QUAAS

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