16D1093646 CLIA NUMBER - HY-VEE PHARMACY #1241

Laboratory Demographics

  • CLIA Code: 16D1093646
  • Facility Name: HY-VEE PHARMACY #1241
  • Facility Address: 2003 CHATBURN, PO BOX 719
    HARLAN, IA
    ZIP 51537
  • Facility Phone: 712 755-2525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREG LEINEN
  • NPI Number: 1811923469
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1093646
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1241
Street 2003 CHATBURN, PO BOX 719
City HARLAN
State IA
ZIP 51537
Phone 712 755-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Pharmacy
Lab Director GREG LEINEN

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