24D1078043 CLIA NUMBER - HY-VEE PHARMACY #1393

Laboratory Demographics

  • CLIA Code: 24D1078043
  • Facility Name: HY-VEE PHARMACY #1393
  • Facility Address: 410 SOUTH RIVERFRONT DRIVE
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 345-5091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMELIA VOLGARINO
  • NPI Number: 1316976087
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1078043
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1393
Street 410 SOUTH RIVERFRONT DRIVE
City MANKATO
State MN
ZIP 56001
Phone 507 345-5091
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 AMELIA VOLGARINO

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