17D2011259 CLIA NUMBER - WALGREENS #03772

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Laboratory Demographics

CLIA Number: 17D2011259

Facility Name: WALGREENS #03772

Facility Address:
2901 SE CALIFORNIA AVE
TOPEKA, KS
ZIP 66605
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Facility Phone Number: 785 266-9470

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407861727

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	17D2011259
LAB Type	Pharmacy
Facility Name	WALGREENS #03772
Street	2901 SE CALIFORNIA AVE
City	TOPEKA
State	KS
ZIP	66605
Phone	785 266-9470
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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