17D1099736 CLIA NUMBER - WALGREENS #6478

Laboratory Demographics

  • CLIA Code: 17D1099736
  • Facility Name: WALGREENS #6478
  • Facility Address: 8701 JOHNSON DRIVE
    MERRIAM, KS
    ZIP 66202
  • Facility Phone: 913 789-9275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC TROMPETER
  • NPI Number: 1952316176
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D1099736
LAB Type Pharmacy
Facility Name WALGREENS #6478
Street 8701 JOHNSON DRIVE
City MERRIAM
State KS
ZIP 66202
Phone 913 789-9275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director ERIC TROMPETER

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