16D1077470 CLIA NUMBER - HY-VEE PHARMACY #3 - 1866

Laboratory Demographics

  • CLIA Code: 16D1077470
  • Facility Name: HY-VEE PHARMACY #3 - 1866
  • Facility Address: 1422 FLAMMANG DRIVE
    WATERLOO, IA
    ZIP 50702
  • Facility Phone: 319 234-7523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELITA CAMPBELL
  • NPI Number: 1093741357
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1077470
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 - 1866
Street 1422 FLAMMANG DRIVE
City WATERLOO
State IA
ZIP 50702
Phone 319 234-7523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Pharmacy
Lab Director MELITA CAMPBELL

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This page was last updated on: 6/4/2025