16D2096749 CLIA NUMBER - HY-VEE PHARMACY #1297

Laboratory Demographics

  • CLIA Code: 16D2096749
  • Facility Name: HY-VEE PHARMACY #1297
  • Facility Address: 106 WEST WASHINGTON STREET
    JEFFERSON, IA
    ZIP 50129
  • Facility Phone: 515 386-4153
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNI WITT
  • NPI Number: 1164621256
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 16D2096749
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1297
Street 106 WEST WASHINGTON STREET
City JEFFERSON
State IA
ZIP 50129
Phone 515 386-4153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Pharmacy
Lab Director COURTNI WITT

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