24D2139146 CLIA NUMBER - HY-VEE SHAKOPEE

Laboratory Demographics

  • CLIA Code: 24D2139146
  • Facility Name: HY-VEE SHAKOPEE
  • Facility Address: 1451 ADAMS STREET SOUTH
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 952 403-1520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COREY WILLS
  • NPI Number: 1326558552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2139146
LAB Type Pharmacy
Facility Name HY-VEE SHAKOPEE
Street 1451 ADAMS STREET SOUTH
City SHAKOPEE
State MN
ZIP 55379
Phone 952 403-1520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director COREY WILLS

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