17D0979534 CLIA NUMBER - HY-VEE #1508

Laboratory Demographics

  • CLIA Code: 17D0979534
  • Facility Name: HY-VEE #1508
  • Facility Address: 8501 WEST 95TH STREET
    OVERLAND PARK, KS
    ZIP 66212
  • Facility Phone: (913) 894-1983
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILIE E. MUNDA
  • NPI Number: 1255367835
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D0979534
LAB Type Pharmacy
Facility Name HY-VEE #1508
Street 8501 WEST 95TH STREET
City OVERLAND PARK
State KS
ZIP 66212
Phone 9138941983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Pharmacy
Lab Director EMILIE E. MUNDA

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This page was last updated on: 5/18/2026