26D2080246 CLIA NUMBER - HY-VEE #1667

Laboratory Demographics

  • CLIA Code: 26D2080246
  • Facility Name: HY-VEE #1667
  • Facility Address: 1617 E 9TH ST
    TRENTON, MO
    ZIP 64683
  • Facility Phone: 660 359-4955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRUDI BOYD
  • NPI Number: 1942238936
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2080246
LAB Type Pharmacy
Facility Name HY-VEE #1667
Street 1617 E 9TH ST
City TRENTON
State MO
ZIP 64683
Phone 660 359-4955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director TRUDI BOYD

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