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16D1024670 CLIA NUMBER - HYVEE DRUGSTORE #5 - 7026

Laboratory Demographics

CLIA Number: 16D1024670

Facility Name: HYVEE DRUGSTORE #5 - 7026

Facility Address:
2001 BLAIRS FERRY RD NE
CEDAR RAPIDS, IA
ZIP 52402
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Facility Phone Number: 319 393-0561

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1902838444

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 16D1024670
LAB Type Pharmacy
Facility Name HYVEE DRUGSTORE #5 - 7026
Street 2001 BLAIRS FERRY RD NE
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 393-0561
CertificateType 4
CertificateEffectiveDate 4/19/2024
CertificateExpirationDate 4/18/2026
FacilityType Waiver

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