43D1079792 CLIA NUMBER - HY-VEE PHARMACY 1820

Laboratory Demographics

  • CLIA Code: 43D1079792
  • Facility Name: HY-VEE PHARMACY 1820
  • Facility Address: 525 W CHERRY STREET
    VERMILLION, SD
    ZIP 57069
  • Facility Phone: 605 624-9591
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: TRISTAN WIESELER
  • NPI Number: 1871523092
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D1079792
LAB Type Industrial
Facility Name HY-VEE PHARMACY 1820
Street 525 W CHERRY STREET
City VERMILLION
State SD
ZIP 57069
Phone 605 624-9591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Industrial
Lab Director TRISTAN WIESELER

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