26D1101971 CLIA NUMBER - HY-VEE PHARMACY

Laboratory Demographics

  • CLIA Code: 26D1101971
  • Facility Name: HY-VEE PHARMACY
  • Facility Address: 1217 S MAIN STREET
    MARYVILLE, MO
    ZIP 64468
  • Facility Phone: 660 582-2191
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOLAN RITZINGER
  • NPI Number: 1164452801
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1101971
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY
Street 1217 S MAIN STREET
City MARYVILLE
State MO
ZIP 64468
Phone 660 582-2191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director NOLAN RITZINGER

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