16D1077864 CLIA NUMBER - HY-VEE PHARMACY #1 - 1887

Laboratory Demographics

  • CLIA Code: 16D1077864
  • Facility Name: HY-VEE PHARMACY #1 - 1887
  • Facility Address: 1700 VALLEY WEST DRIVE
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 225-9330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC VANHUEKELOM
  • NPI Number: 1073558607
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1077864
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 - 1887
Street 1700 VALLEY WEST DRIVE
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 225-9330
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 ERIC VANHUEKELOM

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