17D2011264 CLIA NUMBER - WALGREENS #4234

Laboratory Demographics

  • CLIA Code: 17D2011264
  • Facility Name: WALGREENS #4234
  • Facility Address: 7500 METCALF AVE
    OVERLAND PARK, KS
    ZIP 66204
  • Facility Phone: 913 341-1725
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY D. SIEBERT
  • NPI Number: 1144235367
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2011264
LAB Type Pharmacy
Facility Name WALGREENS #4234
Street 7500 METCALF AVE
City OVERLAND PARK
State KS
ZIP 66204
Phone 913 341-1725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director KELLY D. SIEBERT

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