24D2230156 CLIA NUMBER - HY-VEE PHARMACY #1440

Laboratory Demographics

  • CLIA Code: 24D2230156
  • Facility Name: HY-VEE PHARMACY #1440
  • Facility Address: 200 10TH AVE SE
    NEW PRAGUE, MN
    ZIP 56071
  • Facility Phone: 952 758-2794
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALISON R. JONES
  • NPI Number: 1700456977
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2230156
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1440
Street 200 10TH AVE SE
City NEW PRAGUE
State MN
ZIP 56071
Phone 952 758-2794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director ALISON R. JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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