16D1052595 CLIA NUMBER - HY-VEE PHARMACY #4 - 1890

Laboratory Demographics

  • CLIA Code: 16D1052595
  • Facility Name: HY-VEE PHARMACY #4 - 1890
  • Facility Address: 555 SOUTH 51ST STREET
    WEST DES MOINES, IA
    ZIP 50265
  • Facility Phone: 515 221-2751
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY ALLEN
  • NPI Number: 1457381097
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1052595
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #4 - 1890
Street 555 SOUTH 51ST STREET
City WEST DES MOINES
State IA
ZIP 50265
Phone 515 221-2751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Pharmacy
Lab Director AMY ALLEN

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