CLIA lab
CLIA 14D1077750: Hy-Vee Pharmacy #1420
Macomb, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1077750 belongs to Hy-Vee Pharmacy #1420 in Macomb, IL.
Certificate of Waiver, effective December 18, 2025, expires December 17, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2007
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1077750
- Lab name
- Hy-Vee Pharmacy #1420
- Address
- 1600 E Jackson, Macomb, IL 61455
- Phone
- (309) 833-3750
- Fax
- (309) 836-8407
Annual test volume the lab reported
- Waived tests
- 110
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Birthright of Macomb IncCertificate of Waiver, Other14D0667491
- Countryside Care Center LLCCertificate of Waiver, Skilled nursing or nursing facility14D0646794
- DR Eric Botts & AssociatesCertificate of Waiver, Physician office14D2014276
- Fresenius Medical Care MacombCertificate of Waiver, End stage renal disease dialysis facility14D1097214
- Gary L Sash DCCertificate of Waiver, Physician office14D0719114
- Graham Medical Group - MacombCertificate of Waiver, Community clinic14D2281376
- Graham Medical Group MacombCertificate of Waiver, Community clinic14D2347857
- Grand Prairie Suportive LivingCertificate of Waiver, Assisted living facility14D2198208
Related
Questions
What is the CLIA number for Hy-Vee Pharmacy #1420 in Macomb?
14D1077750, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy #1420 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1077750 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.