26D2190067 CLIA NUMBER - HY-VEE PHARMACY #3036 PRINCETON

Laboratory Demographics

  • CLIA Code: 26D2190067
  • Facility Name: HY-VEE PHARMACY #3036 PRINCETON
  • Facility Address: 710 W MAIN STREET
    PRINCETON, MO
    ZIP 64673
  • Facility Phone: 660 748-7730
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE P. MARVIN
  • NPI Number: 1417983503
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2190067
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #3036 PRINCETON
Street 710 W MAIN STREET
City PRINCETON
State MO
ZIP 64673
Phone 660 748-7730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director JULIE P. MARVIN

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