17D1100667 CLIA NUMBER - DILLONS PHARMACY #36

Laboratory Demographics

  • CLIA Code: 17D1100667
  • Facility Name: DILLONS PHARMACY #36
  • Facility Address: 1320 NORTH MAIN
    MCPHERSON, KS
    ZIP 67460
  • Facility Phone: 620 241-6108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE NELSON
  • NPI Number: 1306886809
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D1100667
LAB Type Pharmacy
Facility Name DILLONS PHARMACY #36
Street 1320 NORTH MAIN
City MCPHERSON
State KS
ZIP 67460
Phone 620 241-6108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director JAMIE NELSON

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