16D2081210 CLIA NUMBER - HY-VEE PHARMACY #1573

Laboratory Demographics

  • CLIA Code: 16D2081210
  • Facility Name: HY-VEE PHARMACY #1573
  • Facility Address: 1989 PARK STREET PO BOX 408
    SHELDON, IA
    ZIP 51201
  • Facility Phone: 712 324-0020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACEY L. WYLIE
  • NPI Number: 1700154952
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2081210
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1573
Street 1989 PARK STREET PO BOX 408
City SHELDON
State IA
ZIP 51201
Phone 712 324-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Pharmacy
Lab Director TRACEY L. WYLIE

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