17D1011206 CLIA NUMBER - UNIVERSITY OF KANSAS CANCER CENTER - OVERLAND PARK

Laboratory Demographics

CLIA Number: 17D1011206

Facility Name: UNIVERSITY OF KANSAS CANCER CENTER - OVERLAND PARK

Facility Address:
12200 WEST 110TH STREET
OVERLAND PARK, KS
ZIP 66210
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Facility Phone Number: 913 234-0400

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1093003675

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	17D1011206
LAB Type	Independent
Facility Name	UNIVERSITY OF KANSAS CANCER CENTER - OVERLAND PARK
Street	12200 WEST 110TH STREET
City	OVERLAND PARK
State	KS
ZIP	66210
Phone	913 234-0400
CertificateType	1
CertificateEffectiveDate	11/23/2023
CertificateExpirationDate	11/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024