17D2011260 CLIA NUMBER - WALGREENS #04183

Laboratory Demographics

  • CLIA Code: 17D2011260
  • Facility Name: WALGREENS #04183
  • Facility Address: 545 E SANTA FE ST
    OLATHE, KS
    ZIP 66061
  • Facility Phone: 913 393-2757
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANET A. LAWRENCE
  • NPI Number: 1326053547
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2011260
LAB Type Pharmacy
Facility Name WALGREENS #04183
Street 545 E SANTA FE ST
City OLATHE
State KS
ZIP 66061
Phone 913 393-2757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director JANET A. LAWRENCE

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