17D2011258 CLIA NUMBER - WALGREENS #03069

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Laboratory Demographics

CLIA Number: 17D2011258

Facility Name: WALGREENS #03069

Facility Address:
1001 SW TOPEKA BLVD
TOPEKA, KS
ZIP 66612
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Facility Phone Number: 785 354-1470

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871508192

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	17D2011258
LAB Type	Pharmacy
Facility Name	WALGREENS #03069
Street	1001 SW TOPEKA BLVD
City	TOPEKA
State	KS
ZIP	66612
Phone	785 354-1470
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024