16D1091421 CLIA NUMBER - HY-VEE PHARMACY #1636

Laboratory Demographics

  • CLIA Code: 16D1091421
  • Facility Name: HY-VEE PHARMACY #1636
  • Facility Address: 819 GRAND AVENUE
    SPENCER, IA
    ZIP 51301
  • Facility Phone: 712 262-0336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOLLY CONLON
  • NPI Number: 1659307239
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1091421
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1636
Street 819 GRAND AVENUE
City SPENCER
State IA
ZIP 51301
Phone 712 262-0336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Pharmacy
Lab Director MOLLY CONLON

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