26D1090759 CLIA NUMBER - HY-VEE PHARMACY #1384

Laboratory Demographics

  • CLIA Code: 26D1090759
  • Facility Name: HY-VEE PHARMACY #1384
  • Facility Address: 109 NORTH BLUE JAY DRIVE
    LIBERTY, MO
    ZIP 64068
  • Facility Phone: 816 792-3210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA TROUT
  • NPI Number: 1578590006
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director MARIA TROUT

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