CLIA lab
CLIA 24D0954858: Hy-Vee Pharmacy (1177)
Faribault, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0954858 belongs to Hy-Vee Pharmacy (1177) in Faribault, MN.
Certificate of Waiver, effective December 10, 2024, expires December 9, 2026.
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
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 1998
- 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
- 24D0954858
- Lab name
- Hy-Vee Pharmacy (1177)
- Address
- 1920 Grant Street, Faribault, MN 55021
- Phone
- (507) 334-1555
- Fax
- (507) 334-9030
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Faribault, MN
- Allina Health Faribault ClinicCertificate of Waiver, Community clinic24D0398150
- Brookdale Senior Living Communities IncCertificate of Waiver, Assisted living facility24D1040157
- Cannon Valley Special Ed CoopCertificate of Waiver, School or student health service24D2236987
- Caring Connections LLCCertificate of Waiver, Assisted living facility24D2340589
- Crossroads Surgery CenterCertificate of Waiver, Ambulatory surgery center24D2024838
- Faribault Dialysis UnitCertificate of Waiver, End stage renal disease dialysis facility24D0882099
- Faribault Medical CenterCertificate of Accreditation, Hospital24D0398163
- Faribault Medical Center - Patient Care AreaCertificate of Waiver, Hospital24D2083243
- Faribault Senior LivingCertificate of Waiver, Assisted living facility24D2023052
- Ivy Hill Senior Care, IncCertificate of Waiver, Assisted living facility24D2006003
Related
Questions
What is the CLIA number for Hy-Vee Pharmacy (1177) in Faribault?
24D0954858, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hy-Vee Pharmacy (1177) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0954858 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.