16D2104390 CLIA NUMBER - HY-VEE DRUGSTORE #7056

Laboratory Demographics

  • CLIA Code: 16D2104390
  • Facility Name: HY-VEE DRUGSTORE #7056
  • Facility Address: 875 4TH STREET SW
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 424-4181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE TJADEN
  • NPI Number: 1326083718
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2104390
LAB Type Pharmacy
Facility Name HY-VEE DRUGSTORE #7056
Street 875 4TH STREET SW
City MASON CITY
State IA
ZIP 50401
Phone 641 424-4181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director STEPHANIE TJADEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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