CLIA lab

CLIA 24D1078043: Hy-Vee Pharmacy #1393

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

CLIA number 24D1078043 belongs to Hy-Vee Pharmacy #1393 in Mankato, MN.

Certificate of Waiver, effective December 27, 2025, expires December 26, 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
December 27, 2025
Certificate expiration
December 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 27, 2007
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
24D1078043
Lab name
Hy-Vee Pharmacy #1393
Address
410 South Riverfront Drive, Mankato, MN 56001
Phone
(507) 345-5091
Fax
(507) 625-4735

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.

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Related

Questions

What is the CLIA number for Hy-Vee Pharmacy #1393 in Mankato?

24D1078043, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hy-Vee Pharmacy #1393 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1078043 expire?

The CMS file lists December 26, 2027 as the certificate expiration date; the certificate took effect December 27, 2025.

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