16D2029286 CLIA NUMBER - HY-VEE PHARMACY #1295

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Laboratory Demographics

CLIA Number: 16D2029286

Facility Name: HY-VEE PHARMACY #1295

Facility Address:
632 SOUTH OAK ST
IOWA FALLS, IA
ZIP 50126
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Facility Phone Number: 515 559-5708

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265469761

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	16D2029286
LAB Type	Pharmacy
Facility Name	HY-VEE PHARMACY #1295
Street	632 SOUTH OAK ST
City	IOWA FALLS
State	IA
ZIP	50126
Phone	515 559-5708
CertificateType	4
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	Waiver

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