16D2106486 CLIA NUMBER - HY-VEE / AVERA HEALTH YOU MOBILE VIN# 4UZACLDUOFCHA8602

Laboratory Demographics

  • CLIA Code: 16D2106486
  • Facility Name: HY-VEE / AVERA HEALTH YOU MOBILE VIN# 4UZACLDUOFCHA8602
  • Facility Address: 1010 RIVERVIEW DRIVE
    CHEROKEE, IA
    ZIP 51012
  • Facility Phone: 515 267-2827
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SARAH PETERSON
  • NPI Number: 1558785352
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2106486
LAB Type Mobile Laboratory
Facility Name HY-VEE / AVERA HEALTH YOU MOBILE VIN# 4UZACLDUOFCHA8602
Street 1010 RIVERVIEW DRIVE
City CHEROKEE
State IA
ZIP 51012
Phone 515 267-2827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Mobile Laboratory
Lab Director SARAH PETERSON

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