26D1077884 CLIA NUMBER - HYVEE PHARMACY 1219

Laboratory Demographics

  • CLIA Code: 26D1077884
  • Facility Name: HYVEE PHARMACY 1219
  • Facility Address: 7117 N PROSPECT
    GLADSTONE, MO
    ZIP 64119
  • Facility Phone: 816 452-7711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA PEDROZA
  • NPI Number: 1336179159
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1077884
LAB Type Pharmacy
Facility Name HYVEE PHARMACY 1219
Street 7117 N PROSPECT
City GLADSTONE
State MO
ZIP 64119
Phone 816 452-7711
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 LISA PEDROZA

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