24D2027744 CLIA NUMBER - HY-VEE

Laboratory Demographics

  • CLIA Code: 24D2027744
  • Facility Name: HY-VEE
  • Facility Address: 1235 OXFORD STREET
    WORTHINGTON, MN
    ZIP 56187
  • Facility Phone: 507 376-3812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY DEKAM
  • NPI Number: 1073819629
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2027744
LAB Type Pharmacy
Facility Name HY-VEE
Street 1235 OXFORD STREET
City WORTHINGTON
State MN
ZIP 56187
Phone 507 376-3812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Pharmacy
Lab Director TIFFANY DEKAM

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