24D2124871 CLIA NUMBER - HY-VEE #1559

Laboratory Demographics

  • CLIA Code: 24D2124871
  • Facility Name: HY-VEE #1559
  • Facility Address: 6150 EAGAN DRIVE
    SAVAGE, MN
    ZIP 55378
  • Facility Phone: 952 228-2550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON BOHN
  • NPI Number: 1174069942
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2124871
LAB Type Pharmacy
Facility Name HY-VEE #1559
Street 6150 EAGAN DRIVE
City SAVAGE
State MN
ZIP 55378
Phone 952 228-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director BRANDON BOHN

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