16D1033987 CLIA NUMBER - HY-VEE PHARMACY #5 - 1061

Laboratory Demographics

CLIA Number: 16D1033987

Facility Name: HY-VEE PHARMACY #5 - 1061

Facility Address:
3235 OAKLAND ROAD NE
CEDAR RAPIDS, IA
ZIP 52402
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Facility Phone Number: 515 559-5708

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861422115

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	16D1033987
LAB Type	Pharmacy
Facility Name	HY-VEE PHARMACY #5 - 1061
Street	3235 OAKLAND ROAD NE
City	CEDAR RAPIDS
State	IA
ZIP	52402
Phone	515 559-5708
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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