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16D1013697 CLIA NUMBER - HY-VEE PHARMACY #2 - 1505

Laboratory Demographics

CLIA Number: 16D1013697

Facility Name: HY-VEE PHARMACY #2 - 1505

Facility Address:
2453 N COURT STREET
OTTUMWA, IA
ZIP 52501
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Facility Phone Number: 641 684-1853

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1902840101

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 16D1013697
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #2 - 1505
Street 2453 N COURT STREET
City OTTUMWA
State IA
ZIP 52501
Phone 641 684-1853
CertificateType 4
CertificateEffectiveDate 6/16/2023
CertificateExpirationDate 6/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024