43D1052348 CLIA NUMBER - HY-VEE 1637

Laboratory Demographics

  • CLIA Code: 43D1052348
  • Facility Name: HY-VEE 1637
  • Facility Address: 3020 EAST 10TH STREET
    SIOUX FALLS, SD
    ZIP 57103
  • Facility Phone: 605 336-8998
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNY VITZTHUM
  • NPI Number: 1700816915
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D1052348
LAB Type Pharmacy
Facility Name HY-VEE 1637
Street 3020 EAST 10TH STREET
City SIOUX FALLS
State SD
ZIP 57103
Phone 605 336-8998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Pharmacy
Lab Director JENNY VITZTHUM

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