26D2030810 CLIA NUMBER - HY-VEE PHARMACY (1641)

Laboratory Demographics

  • CLIA Code: 26D2030810
  • Facility Name: HY-VEE PHARMACY (1641)
  • Facility Address: 1720 WEST BATTLEFIELD ROAD
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. RUPP
  • NPI Number: 1578843231
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2030810
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY (1641)
Street 1720 WEST BATTLEFIELD ROAD
City SPRINGFIELD
State MO
ZIP 65807
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 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director MICHAEL W. RUPP

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