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16D1089438 CLIA NUMBER - HY-VEE PHARMACY #1124

Laboratory Demographics

CLIA Number: 16D1089438

Facility Name: HY-VEE PHARMACY #1124

Facility Address:
1426 BROADWAY
DENISON, IA
ZIP 51442
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Facility Phone Number: 712 263-6161

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1215963491

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 16D1089438
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1124
Street 1426 BROADWAY
City DENISON
State IA
ZIP 51442
Phone 712 263-6161
CertificateType 4
CertificateEffectiveDate 9/17/2022
CertificateExpirationDate 9/16/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024