16D1022871 CLIA NUMBER - HY-VEE PHARMACY #3 - 1142

Laboratory Demographics

  • CLIA Code: 16D1022871
  • Facility Name: HY-VEE PHARMACY #3 - 1142
  • Facility Address: 3221 SE 14TH STREET
    DES MOINES, IA
    ZIP 50320
  • Facility Phone: 515 246-1390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER ELLIOTT
  • NPI Number: 1396780912
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1022871
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 - 1142
Street 3221 SE 14TH STREET
City DES MOINES
State IA
ZIP 50320
Phone 515 246-1390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Pharmacy
Lab Director PETER ELLIOTT

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