24D2226728 CLIA NUMBER - HY-VEE PHARMACY #1402

Laboratory Demographics

  • CLIA Code: 24D2226728
  • Facility Name: HY-VEE PHARMACY #1402
  • Facility Address: 2501 WHITE BEAR AVE
    MAPLEWOOD, MN
    ZIP 55109
  • Facility Phone: 651 747-3501
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM L. MUEHLER
  • NPI Number: 1538749387
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2226728
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1402
Street 2501 WHITE BEAR AVE
City MAPLEWOOD
State MN
ZIP 55109
Phone 651 747-3501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director ADAM L. MUEHLER

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