16D2208252 CLIA NUMBER - HY-VEE PHARMACY #1825

Laboratory Demographics

  • CLIA Code: 16D2208252
  • Facility Name: HY-VEE PHARMACY #1825
  • Facility Address: 911 SOUTH K AVE
    VINTON, IA
    ZIP 52349
  • Facility Phone: 319 318-5200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAEMI CHAVEZ
  • NPI Number: 1013546308
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2208252
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1825
Street 911 SOUTH K AVE
City VINTON
State IA
ZIP 52349
Phone 319 318-5200
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 RAEMI CHAVEZ

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