17D1099735 CLIA NUMBER - WALGREENS #10125

Laboratory Demographics

  • CLIA Code: 17D1099735
  • Facility Name: WALGREENS #10125
  • Facility Address: 2850 STATE AVENUE
    KANSAS CITY, KS
    ZIP 66102
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: BRADLEY C. SEILER
  • NPI Number: 1194945196
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D1099735
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #10125
Street 2850 STATE AVENUE
City KANSAS CITY
State KS
ZIP 66102
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director BRADLEY C. SEILER

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