CLIA lab

CLIA 16D2020849: Hy-Vee Pharmacy #1 - 1504

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

CLIA number 16D2020849 belongs to Hy-Vee Pharmacy #1 - 1504 in Ottumwa, IA.

Certificate of Waiver, effective August 8, 2026, expires August 7, 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
August 8, 2026
Certificate expiration
August 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 1, 2011
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
16D2020849
Lab name
Hy-Vee Pharmacy #1 - 1504
Address
1025 N Quincy Avenue, Ottumwa, IA 52501
Phone
(641) 683-4483

Annual test volume the lab reported

Waived tests
100

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 #1 - 1504 in Ottumwa?

16D2020849, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hy-Vee Pharmacy #1 - 1504 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D2020849 expire?

The CMS file lists August 7, 2028 as the certificate expiration date; the certificate took effect August 8, 2026.

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