24D1078981 CLIA NUMBER - HY-VEE INC

Laboratory Demographics

  • CLIA Code: 24D1078981
  • Facility Name: HY-VEE INC
  • Facility Address: 19 2ND AVE NW
    KASSON, MN
    ZIP 55944
  • Facility Phone: (507) 634-3341
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAKOU REMICK
  • NPI Number: 1104384650
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1078981
LAB Type Pharmacy
Facility Name HY-VEE INC
Street 19 2ND AVE NW
City KASSON
State MN
ZIP 55944
Phone 5076343341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director PAKOU REMICK

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