16D2063527 CLIA NUMBER - HY-VEE PHARMACY #1873

Laboratory Demographics

  • CLIA Code: 16D2063527
  • Facility Name: HY-VEE PHARMACY #1873
  • Facility Address: 1005 EAST HICKMAN ROAD
    WAUKEE, IA
    ZIP 50263
  • Facility Phone: 515 216-2762
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON SHULFER
  • NPI Number: 1356782668
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2063527
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1873
Street 1005 EAST HICKMAN ROAD
City WAUKEE
State IA
ZIP 50263
Phone 515 216-2762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director BRANDON SHULFER

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