16D2041196 CLIA NUMBER - HY-VEE PHARMACY #1473

Laboratory Demographics

  • CLIA Code: 16D2041196
  • Facility Name: HY-VEE PHARMACY #1473
  • Facility Address: 510 W MCLANE STREET
    OSCEOLA, IA
    ZIP 50213
  • Facility Phone: 641 342-1568
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALARIE K. EAGEN
  • NPI Number: 1295094365
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2041196
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1473
Street 510 W MCLANE STREET
City OSCEOLA
State IA
ZIP 50213
Phone 641 342-1568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Pharmacy
Lab Director VALARIE K. EAGEN

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