16D1013171 CLIA NUMBER - HY-VEE PHARMACY #1022

Laboratory Demographics

  • CLIA Code: 16D1013171
  • Facility Name: HY-VEE PHARMACY #1022
  • Facility Address: 410 NORTH ANKENY BLVD
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 964-9464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALISSA BUBON
  • NPI Number: 1275561110
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1013171
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1022
Street 410 NORTH ANKENY BLVD
City ANKENY
State IA
ZIP 50023
Phone 515 964-9464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director ALISSA BUBON

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