24D2080814 CLIA NUMBER - HY-VEE PHARMACY #1394

Laboratory Demographics

  • CLIA Code: 24D2080814
  • Facility Name: HY-VEE PHARMACY #1394
  • Facility Address: 2010 ADAMS STREET
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 625-7565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN R. CORNELIUS
  • NPI Number: 1669405486
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2080814
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1394
Street 2010 ADAMS STREET
City MANKATO
State MN
ZIP 56001
Phone 507 625-7565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Pharmacy
Lab Director BRIAN R. CORNELIUS

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