16D2030730 CLIA NUMBER - HY-VEE PHARMACY #1 - 1860

Laboratory Demographics

  • CLIA Code: 16D2030730
  • Facility Name: HY-VEE PHARMACY #1 - 1860
  • Facility Address: 2834 ANSBOROUGH AVENUE
    WATERLOO, IA
    ZIP 50701
  • Facility Phone: 319 233-3266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY WALVATNE
  • NPI Number: 1528349347
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2030730
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 - 1860
Street 2834 ANSBOROUGH AVENUE
City WATERLOO
State IA
ZIP 50701
Phone 319 233-3266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director KELLY WALVATNE

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