17D2010889 CLIA NUMBER - DILLONS PHARMACY #85

Laboratory Demographics

  • CLIA Code: 17D2010889
  • Facility Name: DILLONS PHARMACY #85
  • Facility Address: 225 EAST CLOUD
    ANDOVER, KS
    ZIP 67002
  • Facility Phone: 316 733-3725
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT TOMASU
  • NPI Number: 1811937634
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2010889
LAB Type Pharmacy
Facility Name DILLONS PHARMACY #85
Street 225 EAST CLOUD
City ANDOVER
State KS
ZIP 67002
Phone 316 733-3725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Pharmacy
Lab Director ROBERT TOMASU

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