52D2236680 CLIA NUMBER - HY-VEE PHARMACY #1166

Laboratory Demographics

  • CLIA Code: 52D2236680
  • Facility Name: HY-VEE PHARMACY #1166
  • Facility Address: 2424 E CLAIREMONT AVE
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 598-9524
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN RING
  • NPI Number: 1386319077
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2236680
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY #1166
Street 2424 E CLAIREMONT AVE
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 598-9524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Pharmacy
Lab Director DYLAN RING

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This page was last updated on: 6/4/2025