16D2208011 CLIA NUMBER - HY-VEE PHARMACY #1459

Laboratory Demographics

  • CLIA Code: 16D2208011
  • Facility Name: HY-VEE PHARMACY #1459
  • Facility Address: 1345 SOUTH FREDERICK AVE
    OELWEIN, IA
    ZIP 50662
  • Facility Phone: 319 283-4100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY WALVATNE
  • NPI Number: 1053938662
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2208011
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1459
Street 1345 SOUTH FREDERICK AVE
City OELWEIN
State IA
ZIP 50662
Phone 319 283-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director KELLY WALVATNE

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