43D1026511 CLIA NUMBER - HY-VEE PHARMACY 1039

Laboratory Demographics

  • CLIA Code: 43D1026511
  • Facility Name: HY-VEE PHARMACY 1039
  • Facility Address: 790 22ND AVENUE SOUTH
    BROOKINGS, SD
    ZIP 57006
  • Facility Phone: 605 692-7515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI COUSER
  • NPI Number: 1326078510
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D1026511
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY 1039
Street 790 22ND AVENUE SOUTH
City BROOKINGS
State SD
ZIP 57006
Phone 605 692-7515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Pharmacy
Lab Director LORI COUSER

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