43D1058004 CLIA NUMBER - HY-VEE PHARMACY 1871

Laboratory Demographics

  • CLIA Code: 43D1058004
  • Facility Name: HY-VEE PHARMACY 1871
  • Facility Address: 1320 9TH AVENUE SOUTHEAST
    WATERTOWN, SD
    ZIP 57201
  • Facility Phone: 515 559-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN T. BRINKMAN
  • NPI Number: 1760412985
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D1058004
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY 1871
Street 1320 9TH AVENUE SOUTHEAST
City WATERTOWN
State SD
ZIP 57201
Phone 515 559-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Pharmacy
Lab Director DUSTIN T. BRINKMAN

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