CLIA lab
CLIA 16D2210045: Hy-Vee Clinic Pharmacy #1504
Bloomfield, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2210045 belongs to Hy-Vee Clinic Pharmacy #1504 in Bloomfield, IA.
Certificate of Waiver, effective January 19, 2025, expires January 18, 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 19, 2025
- Certificate expiration
- January 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 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
- 16D2210045
- Lab name
- Hy-Vee Clinic Pharmacy #1504
- Address
- 301 W Jefferson Street, Bloomfield, IA 52537
- Phone
- (641) 664-2975
- Fax
- (641) 664-2856
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.
Other labs in Bloomfield, IA
- Bloomfield Care CenterCertificate of Waiver, Skilled nursing or nursing facility16D0712054
- Davis County HospitalCertificate of Compliance, Hospital16D0387155
- Davis County Medical AssociatesCertificate of Waiver, Rural health clinic16D2075847
- Davis County Public HealthCertificate of Waiver, Home health agency16D0857498
- Mulberry Place Independent & Assisted LivingCertificate of Waiver, Assisted living facility16D1049292
- Osteopathic Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office16D0706731
- Wells Hometown DrugCertificate of Waiver, Pharmacy16D2182715
Related
Questions
What is the CLIA number for Hy-Vee Clinic Pharmacy #1504 in Bloomfield?
16D2210045, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Clinic Pharmacy #1504 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2210045 expire?
The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.