17D2011306 CLIA NUMBER - DILLONS PHARMACY #83

Laboratory Demographics

  • CLIA Code: 17D2011306
  • Facility Name: DILLONS PHARMACY #83
  • Facility Address: 1624 N ROCK ROAD
    DERBY, KS
    ZIP 67037
  • Facility Phone: 316 554-2121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT TOMASU

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CLIA Record

Field Name Field Value
CLIA Number 17D2011306
LAB Type Pharmacy
Facility Name DILLONS PHARMACY #83
Street 1624 N ROCK ROAD
City DERBY
State KS
ZIP 67037
Phone 316 554-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Pharmacy
Lab Director ROBERT TOMASU

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This page was last updated on: 3/20/2025