CLIA lab

CLIA 16D1074092: Hy-Vee Pharmacy #1872

Waverly, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 16D1074092 belongs to Hy-Vee Pharmacy #1872 in Waverly, IA.

Certificate of Waiver, effective September 24, 2025, expires September 23, 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
September 24, 2025
Certificate expiration
September 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 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
16D1074092
Lab name
Hy-Vee Pharmacy #1872
Address
1311 4th Street SW, Waverly, IA 50677
Phone
(515) 559-5708
Fax
(515) 559-2515

Annual test volume the lab reported

Waived tests
80

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 #1872 in Waverly?

16D1074092, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hy-Vee Pharmacy #1872 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D1074092 expire?

The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.

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