17D1069748 CLIA NUMBER - WALGREENS #2751

Laboratory Demographics

  • CLIA Code: 17D1069748
  • Facility Name: WALGREENS #2751
  • Facility Address: 13534 WEST MAPLE STREET
    WICHITA, KS
    ZIP 67235
  • Facility Phone: 316 773-3162
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE R. LAWSON
  • NPI Number: 1497760623
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D1069748
LAB Type Pharmacy
Facility Name WALGREENS #2751
Street 13534 WEST MAPLE STREET
City WICHITA
State KS
ZIP 67235
Phone 316 773-3162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director STEPHANIE R. LAWSON

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