16D2208056 CLIA NUMBER - HY-VEE PHARMACY #1850

Laboratory Demographics

  • CLIA Code: 16D2208056
  • Facility Name: HY-VEE PHARMACY #1850
  • Facility Address: 528 S HWY 1
    WASHINGTON, IA
    ZIP 52353
  • Facility Phone: 319 653-2155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM MALICHKY
  • NPI Number: 1497781751
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2208056
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1850
Street 528 S HWY 1
City WASHINGTON
State IA
ZIP 52353
Phone 319 653-2155
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 KIM MALICHKY

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