16D2008824 CLIA NUMBER - HYVEE PHARMACY #5 - 1151

Laboratory Demographics

  • CLIA Code: 16D2008824
  • Facility Name: HYVEE PHARMACY #5 - 1151
  • Facility Address: 1107 SE ARMY POST ROAD
    DES MOINES, IA
    ZIP 50315
  • Facility Phone: 515 285-6394
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRENT GEURTS
  • NPI Number: 1417983057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2008824
LAB Type Pharmacy
Facility Name HYVEE PHARMACY #5 - 1151
Street 1107 SE ARMY POST ROAD
City DES MOINES
State IA
ZIP 50315
Phone 515 285-6394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Pharmacy
Lab Director TRENT GEURTS

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