16D2209772 CLIA NUMBER - HY-VEE PHARMACY #3634

Laboratory Demographics

  • CLIA Code: 16D2209772
  • Facility Name: HY-VEE PHARMACY #3634
  • Facility Address: 113 N THRID ST
    LAURENS, IA
    ZIP 50554
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SOPHIA JOHNSON
  • NPI Number: 1164602306
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2209772
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3634
Street 113 N THRID ST
City LAURENS
State IA
ZIP 50554
Phone 515 559-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Pharmacy
Lab Director SOPHIA JOHNSON

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