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26D1090759 CLIA NUMBER - HY-VEE PHARMACY #1384

Laboratory Demographics

CLIA Number: 26D1090759

Facility Name: HY-VEE PHARMACY #1384

Facility Address:
109 NORTH BLUE JAY DRIVE
LIBERTY, MO
ZIP 64068
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Facility Phone Number: 816 792-3210

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1578590006

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 26D1090759
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1384
Street 109 NORTH BLUE JAY DRIVE
City LIBERTY
State MO
ZIP 64068
Phone 816 792-3210
CertificateType 4
CertificateEffectiveDate 4/23/2023
CertificateExpirationDate 4/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024