24D2103460 CLIA NUMBER - HY-VEE

Laboratory Demographics

  • CLIA Code: 24D2103460
  • Facility Name: HY-VEE
  • Facility Address: 8200 42ND AVE NORTH
    NEW HOPE, MN
    ZIP 55427
  • Facility Phone: 763 531-7460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILLIP BREKER
  • NPI Number: 1578939344
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2103460
LAB Type Pharmacy
Facility Name HY-VEE
Street 8200 42ND AVE NORTH
City NEW HOPE
State MN
ZIP 55427
Phone 763 531-7460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director PHILLIP BREKER

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