16D2208249 CLIA NUMBER - HY-VEE PHARMACY #6 - 1155

Laboratory Demographics

  • CLIA Code: 16D2208249
  • Facility Name: HY-VEE PHARMACY #6 - 1155
  • Facility Address: 420 COURT AVE
    DES MOINES, IA
    ZIP 50309
  • Facility Phone: 515 697-0362
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRENT GEURTS
  • NPI Number: 1033655360
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2208249
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #6 - 1155
Street 420 COURT AVE
City DES MOINES
State IA
ZIP 50309
Phone 515 697-0362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director TRENT GEURTS

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