16D2044965 CLIA NUMBER - HYVEE DRUGSTORE #4 - 7025

Laboratory Demographics

  • CLIA Code: 16D2044965
  • Facility Name: HYVEE DRUGSTORE #4 - 7025
  • Facility Address: 4825 JOHNSON AVENUE NW
    CEDAR RAPIDS, IA
    ZIP 52405
  • Facility Phone: 319 396-7419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREN R. CHRISTOPHERSON
  • NPI Number: 1245275007
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2044965
LAB Type Pharmacy
Facility Name HYVEE DRUGSTORE #4 - 7025
Street 4825 JOHNSON AVENUE NW
City CEDAR RAPIDS
State IA
ZIP 52405
Phone 319 396-7419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Pharmacy
Lab Director KAREN R. CHRISTOPHERSON

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This page was last updated on: 3/20/2025