CLIA lab
CLIA 14D2090511: Hy-Vee Pharmacy #1035
Bloomington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2090511 belongs to Hy-Vee Pharmacy #1035 in Bloomington, IL.
Certificate of Waiver, effective January 26, 2025, expires January 25, 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
- January 26, 2025
- Certificate expiration
- January 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2015
- 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
- 14D2090511
- Lab name
- Hy-Vee Pharmacy #1035
- Address
- 1403 N Veterans Pkwy, Bloomington, IL 61704
- Phone
- (309) 663-3050
- Fax
- (309) 663-3052
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Hy-Vee Pharmacy #1035 in Bloomington?
14D2090511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy #1035 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2090511 expire?
The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.