16D1022656 CLIA NUMBER - HY-VEE PHARMACY #6 - 1063

Laboratory Demographics

  • CLIA Code: 16D1022656
  • Facility Name: HY-VEE PHARMACY #6 - 1063
  • Facility Address: 4035 MOUNT VERNON ROAD
    CEDAR RAPIDS, IA
    ZIP 52403
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE LUERKENS
  • NPI Number: 1427087956
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1022656
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #6 - 1063
Street 4035 MOUNT VERNON ROAD
City CEDAR RAPIDS
State IA
ZIP 52403
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 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Pharmacy
Lab Director LEANNE LUERKENS

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