16D2208052 CLIA NUMBER - HY-VEE PHARMACY #1190

Laboratory Demographics

  • CLIA Code: 16D2208052
  • Facility Name: HY-VEE PHARMACY #1190
  • Facility Address: 315 HWY 69 N
    FOREST CITY, IA
    ZIP 50436
  • Facility Phone: 641 596-0112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITNEY K. SMIDT
  • NPI Number: 1154886216
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2208052
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1190
Street 315 HWY 69 N
City FOREST CITY
State IA
ZIP 50436
Phone 641 596-0112
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 WHITNEY K. SMIDT

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