26D1075223 CLIA NUMBER - HY-VEE PHARMACY #1303

Laboratory Demographics

  • CLIA Code: 26D1075223
  • Facility Name: HY-VEE PHARMACY #1303
  • Facility Address: 3721 W TRUMAN BLVD
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 634-2628
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIANNE RYNO
  • NPI Number: 1699968750
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1075223
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1303
Street 3721 W TRUMAN BLVD
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 634-2628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director MARIANNE RYNO

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