16D1016188 CLIA NUMBER - HY-VEE PHARMACY #2 - 1044

Laboratory Demographics

  • CLIA Code: 16D1016188
  • Facility Name: HY-VEE PHARMACY #2 - 1044
  • Facility Address: 3140 AGENCY STREET
    BURLINGTON, IA
    ZIP 52601
  • Facility Phone: 319 752-2773
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA ORTH
  • NPI Number: 1073541553
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1016188
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #2 - 1044
Street 3140 AGENCY STREET
City BURLINGTON
State IA
ZIP 52601
Phone 319 752-2773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director LAURA ORTH

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