16D2205313 CLIA NUMBER - HY-VEE PHARMACY #3 - 1107

Laboratory Demographics

  • CLIA Code: 16D2205313
  • Facility Name: HY-VEE PHARMACY #3 - 1107
  • Facility Address: 1823 EAST KIMBERLY RD
    DAVENPORT, IA
    ZIP 52807
  • Facility Phone: 563 359-5313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL EL-KASS
  • NPI Number: 1003842477
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2205313
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3 - 1107
Street 1823 EAST KIMBERLY RD
City DAVENPORT
State IA
ZIP 52807
Phone 563 359-5313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director MICHAEL EL-KASS

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