17D0965920 CLIA NUMBER - HEN HOUSE PHARMACY #32

Laboratory Demographics

  • CLIA Code: 17D0965920
  • Facility Name: HEN HOUSE PHARMACY #32
  • Facility Address: 13600 S BLACKBOB
    OLATHE, KS
    ZIP 66062
  • Facility Phone: 913 782-2339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. HALLIWELL
  • NPI Number: 1538275946
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D0965920
LAB Type Pharmacy
Facility Name HEN HOUSE PHARMACY #32
Street 13600 S BLACKBOB
City OLATHE
State KS
ZIP 66062
Phone 913 782-2339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director MICHAEL T. HALLIWELL

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This page was last updated on: 9/29/2025