26D1077881 CLIA NUMBER - HY-VEE PHARMACY (1475)

Laboratory Demographics

  • CLIA Code: 26D1077881
  • Facility Name: HY-VEE PHARMACY (1475)
  • Facility Address: 929 HWY D
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUKE BOEHMER
  • NPI Number: 1043248115
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1077881
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1475)
Street 929 HWY D
City OSAGE BEACH
State MO
ZIP 65065
Phone 515 559-5708
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 LUKE BOEHMER

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