24D2207950 CLIA NUMBER - HY-VEE HEALTHMARKET PHARMACY #7077

Laboratory Demographics

  • CLIA Code: 24D2207950
  • Facility Name: HY-VEE HEALTHMARKET PHARMACY #7077
  • Facility Address: 802 MEMORIAL DR SUITE #100
    SPRING VALLEY, MN
    ZIP 55975
  • Facility Phone: 507 346-7273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS WELCHERT
  • NPI Number: 1760940233
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2207950
LAB Type Pharmacy
Facility Name HY-VEE HEALTHMARKET PHARMACY #7077
Street 802 MEMORIAL DR SUITE #100
City SPRING VALLEY
State MN
ZIP 55975
Phone 507 346-7273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Pharmacy
Lab Director TRAVIS WELCHERT

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