16D2241727 CLIA NUMBER - HY-VEE PHARMACY #1013- OFFSITE

Laboratory Demographics

  • CLIA Code: 16D2241727
  • Facility Name: HY-VEE PHARMACY #1013- OFFSITE
  • Facility Address: 1805 CENTER DRIVE
    AMES, IA
    ZIP 50014
  • Facility Phone: 515 292-8375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA L. GOSCH
  • NPI Number: 1043241300
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2241727
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1013- OFFSITE
Street 1805 CENTER DRIVE
City AMES
State IA
ZIP 50014
Phone 515 292-8375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Pharmacy
Lab Director JESSICA L. GOSCH

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