17D1106265 CLIA NUMBER - HY-VEE PHARMACY 1383

Laboratory Demographics

  • CLIA Code: 17D1106265
  • Facility Name: HY-VEE PHARMACY 1383
  • Facility Address: 13400 WEST 87TH PARKWAY
    LENEXA, KS
    ZIP 66215
  • Facility Phone: 913 438-6651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANE KOLICH
  • NPI Number: 1912500356
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D1106265
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY 1383
Street 13400 WEST 87TH PARKWAY
City LENEXA
State KS
ZIP 66215
Phone 913 438-6651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Pharmacy
Lab Director JANE KOLICH

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