CLIA lab
CLIA 16D2209764: Hy-Vee Pharmacy #1417
Mount Ayr, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2209764 belongs to Hy-Vee Pharmacy #1417 in Mount Ayr, IA.
Certificate of Waiver, effective January 15, 2025, expires January 14, 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 15, 2025
- Certificate expiration
- January 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 2021
- 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
- 16D2209764
- Lab name
- Hy-Vee Pharmacy #1417
- Address
- 201 N Fillmore St, Mount Ayr, IA 50854
- Phone
- (641) 464-3300
- Fax
- (641) 464-3303
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Ayr, IA
- Clearview EstatesCertificate of Waiver, Other16D1062651
- Clearview HomeCertificate of Waiver, Skilled nursing or nursing facility16D0385006
- Mount Ayr Community Health ClinicCertificate of Waiver, Physician office16D2142996
- Mount Ayr Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility16D0648006
- Mount Ayr Medical ClinicCertificate of Waiver, Rural health clinic16D0897766
- Ringgold County HospitalCertificate of Compliance, Hospital16D0686757
Related
Questions
What is the CLIA number for Hy-Vee Pharmacy #1417 in Mount Ayr?
16D2209764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy #1417 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2209764 expire?
The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.