16D1022261 CLIA NUMBER - HY-VEE PHARMACY #1075

Laboratory Demographics

  • CLIA Code: 16D1022261
  • Facility Name: HY-VEE PHARMACY #1075
  • Facility Address: 901 SOUTH 4TH STREET
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 243-6063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANREET S. KALYAN
  • NPI Number: 1023054533
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1022261
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1075
Street 901 SOUTH 4TH STREET
City CLINTON
State IA
ZIP 52732
Phone 563 243-6063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Pharmacy
Lab Director MANREET S. KALYAN

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