CLIA lab
CLIA 16D1008962: Hy-Vee Pharmacy #3 - 1615
Sioux City, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D1008962 belongs to Hy-Vee Pharmacy #3 - 1615 in Sioux City, IA.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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
- February 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2003
- 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
- 16D1008962
- Lab name
- Hy-Vee Pharmacy #3 - 1615
- Address
- 3301 East Gordon Drive, Sioux City, IA 51105
- Phone
- (712) 234-1949
- Fax
- (712) 255-8087
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aveanna HealthcareCertificate of Waiver, Home health agency16D0957539
- Bickford Cottage - Sioux CityCertificate of Waiver, Other16D1050209
- Bickford Memory CareCertificate of Waiver, Other16D1050207
- Biolife Plasma Services, LPCertificate of Compliance, Other16D1094097
- Bruening Eye SpecialistsCertificate of Waiver, Physician office16D2147141
- Care Initiatives Hospice-Sioux CityCertificate of Waiver, Hospice16D1088654
- Casa De PazCertificate of Waiver, Skilled nursing or nursing facility16D0385215
- Children's NebraskaCertificate for Provider-Performed Microscopy Procedures, Other16D2257198
- Cnos, PCCertificate for Provider-Performed Microscopy Procedures, Physician office16D2123892
Related
Questions
What is the CLIA number for Hy-Vee Pharmacy #3 - 1615 in Sioux City?
16D1008962, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy #3 - 1615 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D1008962 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.