16D1069311 CLIA NUMBER - HY-VEE PHARMACY #1875

Laboratory Demographics

  • CLIA Code: 16D1069311
  • Facility Name: HY-VEE PHARMACY #1875
  • Facility Address: 823 SECOND STREET
    WEBSTER CITY, IA
    ZIP 50595
  • Facility Phone: 515 832-4025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN JOHNSON
  • NPI Number: 1346276920
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1069311
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1875
Street 823 SECOND STREET
City WEBSTER CITY
State IA
ZIP 50595
Phone 515 832-4025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director ERIN JOHNSON

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