17D0973455 CLIA NUMBER - HY-VEE PHARMACY (1560)

Laboratory Demographics

  • CLIA Code: 17D0973455
  • Facility Name: HY-VEE PHARMACY (1560)
  • Facility Address: 13550 W 63RD ST
    SHAWNEE, KS
    ZIP 66216
  • Facility Phone: 913 962-2256
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KERRI A. PAFLAS
  • NPI Number: 1235165812
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D0973455
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1560)
Street 13550 W 63RD ST
City SHAWNEE
State KS
ZIP 66216
Phone 913 962-2256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director KERRI A. PAFLAS

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