16D1027929 CLIA NUMBER - HY-VEE PHARMACY #1235

Laboratory Demographics

CLIA Number: 16D1027929

Facility Name: HY-VEE PHARMACY #1235

Facility Address:
320 WEST STREET SOUTH
GRINNELL, IA
ZIP 50112
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Facility Phone Number: 641 236-4287

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1356387732

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	16D1027929
LAB Type	Pharmacy
Facility Name	HY-VEE PHARMACY #1235
Street	320 WEST STREET SOUTH
City	GRINNELL
State	IA
ZIP	50112
Phone	641 236-4287
CertificateType	4
CertificateEffectiveDate	7/16/2022
CertificateExpirationDate	7/15/2024
FacilityType	Waiver

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