16D2022507 CLIA NUMBER - HY-VEE PHARMACY #1180

Laboratory Demographics

  • CLIA Code: 16D2022507
  • Facility Name: HY-VEE PHARMACY #1180
  • Facility Address: 1300 WEST BURLINGTON AVENUE
    FAIRFIELD, IA
    ZIP 52556
  • Facility Phone: 641 472-4119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE SCOTT
  • NPI Number: 1891730222
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2022507
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1180
Street 1300 WEST BURLINGTON AVENUE
City FAIRFIELD
State IA
ZIP 52556
Phone 641 472-4119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director DANIELLE SCOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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