24D1078038 CLIA NUMBER - HY-VEE PHARMACY #1400

Laboratory Demographics

  • CLIA Code: 24D1078038
  • Facility Name: HY-VEE PHARMACY #1400
  • Facility Address: 900 EAST MAIN STREET
    MARSHALL, MN
    ZIP 56258
  • Facility Phone: 507 532-2556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANELLE K. LOUWAGIE
  • NPI Number: 1184664476
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1078038
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1400
Street 900 EAST MAIN STREET
City MARSHALL
State MN
ZIP 56258
Phone 507 532-2556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Pharmacy
Lab Director JANELLE K. LOUWAGIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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