17D2011262 CLIA NUMBER - WALGREENS #04221

Laboratory Demographics

  • CLIA Code: 17D2011262
  • Facility Name: WALGREENS #04221
  • Facility Address: 8450 W 151ST STREET
    OVERLAND PARK, KS
    ZIP 66223
  • Facility Phone: 913 814-7977
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENT EPPLER
  • NPI Number: 1871508093
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2011262
LAB Type Pharmacy
Facility Name WALGREENS #04221
Street 8450 W 151ST STREET
City OVERLAND PARK
State KS
ZIP 66223
Phone 913 814-7977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director BRENT EPPLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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