16D1078096 CLIA NUMBER - HY-VEE PHARMACY #1026

Laboratory Demographics

  • CLIA Code: 16D1078096
  • Facility Name: HY-VEE PHARMACY #1026
  • Facility Address: 1630 EAST 7TH STREET
    ATLANTIC, IA
    ZIP 50022
  • Facility Phone: 712 243-2240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARA BAUER
  • NPI Number: 1871539882
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1078096
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1026
Street 1630 EAST 7TH STREET
City ATLANTIC
State IA
ZIP 50022
Phone 712 243-2240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Pharmacy
Lab Director CARA BAUER

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