CLIA lab
CLIA 24D2225802: Hyvee Pharmacy #1643
Spring Lake Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2225802 belongs to Hyvee Pharmacy #1643 in Spring Lake Park, MN.
Certificate of Waiver, effective May 25, 2025, expires May 24, 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
- May 25, 2025
- Certificate expiration
- May 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 25, 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
- 24D2225802
- Lab name
- Hyvee Pharmacy #1643
- Address
- 8155 Hwy 65 NE, Spring Lake Park, MN 55432
- Phone
- (763) 792-8441
- Fax
- (763) 784-8266
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Spring Lake Park, MN
- 1 on 1 Comprehensive Healthcare SolutionCertificate of Waiver, Assisted living facility24D2273074
- Bloom Holistic Health LLCCertificate of Waiver, Other practitioner24D2350248
- Honest Care LLCCertificate of Waiver, Assisted living facility24D2339473
- Independent School District 16Certificate of Waiver, School or student health service24D0711900
- Kmi Diagnostics, IncCertificate of Compliance, Independent24D1030426
- Mercy Caregivers of MinnesotaCertificate of Waiver, Assisted living facility24D2260464
- Noble Cares LLCCertificate of Waiver, Assisted living facility24D2245114
- Suite Living of Spring Lake ParkCertificate of Waiver, Assisted living facility24D2269377
Related
Questions
What is the CLIA number for Hyvee Pharmacy #1643 in Spring Lake Park?
24D2225802, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hyvee Pharmacy #1643 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2225802 expire?
The CMS file lists May 24, 2027 as the certificate expiration date; the certificate took effect May 25, 2025.