26D1077876 CLIA NUMBER - HY-VEE PHARMACY #1 (1260)

Laboratory Demographics

  • CLIA Code: 26D1077876
  • Facility Name: HY-VEE PHARMACY #1 (1260)
  • Facility Address: 1525 E 23RD ST
    INDEPENDENCE, MO
    ZIP 64055
  • Facility Phone: 816 836-9918
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA L. ROSENBERG
  • NPI Number: 1053349050
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1077876
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1 (1260)
Street 1525 E 23RD ST
City INDEPENDENCE
State MO
ZIP 64055
Phone 816 836-9918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director LAURA L. ROSENBERG

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