26D1101232 CLIA NUMBER - HY-VEE PHARMACY (1542)

Laboratory Demographics

  • CLIA Code: 26D1101232
  • Facility Name: HY-VEE PHARMACY (1542)
  • Facility Address: 9400 E 350 HIGHWAY
    RAYTOWN, MO
    ZIP 64133
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY R. SAGE
  • NPI Number: 1154358687
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1101232
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1542)
Street 9400 E 350 HIGHWAY
City RAYTOWN
State MO
ZIP 64133
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 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director BRITTANY R. SAGE

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