26D2080248 CLIA NUMBER - HY-VEE #1036

Laboratory Demographics

  • CLIA Code: 26D2080248
  • Facility Name: HY-VEE #1036
  • Facility Address: 1104 SOUTH 24TH STREET, BOX 47
    BETHANY, MO
    ZIP 64424
  • Facility Phone: 660 425-6353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DILLON JAMES
  • NPI Number: 1356378293
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2080248
LAB Type Pharmacy
Facility Name HY-VEE #1036
Street 1104 SOUTH 24TH STREET, BOX 47
City BETHANY
State MO
ZIP 64424
Phone 660 425-6353
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 DILLON JAMES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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