16D1077869 CLIA NUMBER - HY-VEE PHARMACY #1403

Laboratory Demographics

  • CLIA Code: 16D1077869
  • Facility Name: HY-VEE PHARMACY #1403
  • Facility Address: 802 SOUTH CENTER STREET
    MARSHALLTOWN, IA
    ZIP 50158
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSIE PERIN
  • NPI Number: 1093744435
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1077869
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1403
Street 802 SOUTH CENTER STREET
City MARSHALLTOWN
State IA
ZIP 50158
Phone 515 559-5708
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 JESSIE PERIN

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