16D1016193 CLIA NUMBER - HY-VEE DRUGSTORE #1 - 7020

Laboratory Demographics

CLIA Number: 16D1016193

Facility Name: HY-VEE DRUGSTORE #1 - 7020

Facility Address:
1520 6TH STREET SW
CEDAR RAPIDS, IA
ZIP 52404
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Facility Phone Number: 515 559-5708

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467500439

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	16D1016193
LAB Type	Pharmacy
Facility Name	HY-VEE DRUGSTORE #1 - 7020
Street	1520 6TH STREET SW
City	CEDAR RAPIDS
State	IA
ZIP	52404
Phone	515 559-5708
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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