52D2275759 CLIA NUMBER - HY-VEE PHARMACY 1296

Laboratory Demographics

  • CLIA Code: 52D2275759
  • Facility Name: HY-VEE PHARMACY 1296
  • Facility Address: 2500 HUMES RD
    JANESVILLE, WI
    ZIP 53545
  • Facility Phone: 608 371-6781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATT STEFL
  • NPI Number: 1871299040
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2275759
LAB Type Pharmacy
Facility Name HY-VEE PHARMACY 1296
Street 2500 HUMES RD
City JANESVILLE
State WI
ZIP 53545
Phone 608 371-6781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director MATT STEFL

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