52D2073174 CLIA NUMBER - HY-VEE

Laboratory Demographics

  • CLIA Code: 52D2073174
  • Facility Name: HY-VEE
  • Facility Address: 2920 FITCHRONA RD
    FITCHBURG, WI
    ZIP 53719
  • Facility Phone: 608 273-5120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARA COLTEN
  • NPI Number: 1053732420
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2073174
LAB Type Pharmacy
Facility Name HY-VEE
Street 2920 FITCHRONA RD
City FITCHBURG
State WI
ZIP 53719
Phone 608 273-5120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Pharmacy
Lab Director KARA COLTEN

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This page was last updated on: 3/20/2025