26D1028575 CLIA NUMBER - HY-VEE PHARMACY 1076

Laboratory Demographics

  • CLIA Code: 26D1028575
  • Facility Name: HY-VEE PHARMACY 1076
  • Facility Address: 3100 BROADWAY W
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 447-2144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALTON BROWN
  • NPI Number: 1871520221
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1028575
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY 1076
Street 3100 BROADWAY W
City COLUMBIA
State MO
ZIP 65203
Phone 573 447-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Pharmacy
Lab Director DALTON BROWN

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