17D2011259 CLIA NUMBER - WALGREENS #03772

Laboratory Demographics

  • CLIA Code: 17D2011259
  • Facility Name: WALGREENS #03772
  • Facility Address: 2901 SE CALIFORNIA AVE
    TOPEKA, KS
    ZIP 66605
  • Facility Phone: 785 266-9470
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK SYKALUK
  • NPI Number: 1407861727
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director MARK SYKALUK

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