16D2208011 CLIA NUMBER - HY-VEE PHARMACY #1459

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Laboratory Demographics

CLIA Number: 16D2208011

Facility Name: HY-VEE PHARMACY #1459

Facility Address:
1345 SOUTH FREDERICK AVE
OELWEIN, IA
ZIP 50662
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Facility Phone Number: 319 283-4100

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053938662

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	1/4/2023
CertificateExpirationDate	1/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024