16D1077859 CLIA NUMBER - HY-VEE PHARMACY #1449

Laboratory Demographics

  • CLIA Code: 16D1077859
  • Facility Name: HY-VEE PHARMACY #1449
  • Facility Address: 1501 1ST AVENUE EAST
    NEWTON, IA
    ZIP 50208
  • Facility Phone: 641 792-7030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEREK CLOYD
  • NPI Number: 1740478452
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1077859
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1449
Street 1501 1ST AVENUE EAST
City NEWTON
State IA
ZIP 50208
Phone 641 792-7030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director DEREK CLOYD

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