17D1085066 CLIA NUMBER - HYVEE PHARMACY #1658

Laboratory Demographics

  • CLIA Code: 17D1085066
  • Facility Name: HYVEE PHARMACY #1658
  • Facility Address: 2951 SW WANAMAKER
    TOPEKA, KS
    ZIP 66614
  • Facility Phone: 785 271-0764
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER BAKER
  • NPI Number: 1487825683
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D1085066
LAB Type Pharmacy
Facility Name HYVEE PHARMACY #1658
Street 2951 SW WANAMAKER
City TOPEKA
State KS
ZIP 66614
Phone 785 271-0764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Pharmacy
Lab Director AMBER BAKER

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This page was last updated on: 3/20/2025