CLIA lab

CLIA 16D1090657: Hy-Vee Pharmacy #1192

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

CLIA number 16D1090657 belongs to Hy-Vee Pharmacy #1192 in Fort Dodge, IA.

Certificate of Waiver, effective October 16, 2026, expires October 15, 2028.

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
October 16, 2026
Certificate expiration
October 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 16, 2008
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
16D1090657
Lab name
Hy-Vee Pharmacy #1192
Address
115 South 29th Street, Fort Dodge, IA 50501
Phone
(515) 576-5320
Fax
(515) 576-4078

Annual test volume the lab reported

Waived tests
125

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 #1192 in Fort Dodge?

16D1090657, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hy-Vee Pharmacy #1192 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D1090657 expire?

The CMS file lists October 15, 2028 as the certificate expiration date; the certificate took effect October 16, 2026.

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