17D2011294 CLIA NUMBER - WALGREENS #07550

Laboratory Demographics

  • CLIA Code: 17D2011294
  • Facility Name: WALGREENS #07550
  • Facility Address: 7739 STATE AVE
    KANSAS CITY, KS
    ZIP 66112
  • Facility Phone: 913 788-8168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY K. OHMER
  • NPI Number: 1033124250
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2011294
LAB Type Pharmacy
Facility Name WALGREENS #07550
Street 7739 STATE AVE
City KANSAS CITY
State KS
ZIP 66112
Phone 913 788-8168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director ASHLEY K. OHMER

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