17D2011266 CLIA NUMBER - WALGREENS #04557

Laboratory Demographics

  • CLIA Code: 17D2011266
  • Facility Name: WALGREENS #04557
  • Facility Address: 2121 SW FAIRLAWN ROAD
    TOPEKA, KS
    ZIP 66614
  • Facility Phone: 785 273-1050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA R. MCDONALD
  • NPI Number: 1780699009
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2011266
LAB Type Pharmacy
Facility Name WALGREENS #04557
Street 2121 SW FAIRLAWN ROAD
City TOPEKA
State KS
ZIP 66614
Phone 785 273-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Pharmacy
Lab Director ANGELA R. MCDONALD

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