16D1019696 CLIA NUMBER - HY-VEE PHARMACY #2 - 1018

Laboratory Demographics

  • CLIA Code: 16D1019696
  • Facility Name: HY-VEE PHARMACY #2 - 1018
  • Facility Address: 640 LINCOLN WAY
    AMES, IA
    ZIP 50010
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEDIDIAH BARTLETT
  • NPI Number: 1811928690
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1019696
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #2 - 1018
Street 640 LINCOLN WAY
City AMES
State IA
ZIP 50010
Phone 515 559-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Pharmacy
Lab Director JEDIDIAH BARTLETT

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