17D2011833 CLIA NUMBER - WALGREENS #05770

Laboratory Demographics

  • CLIA Code: 17D2011833
  • Facility Name: WALGREENS #05770
  • Facility Address: 3150 S SENECA STREET
    WICHITA, KS
    ZIP 67217
  • Facility Phone: 316 522-7489
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY SMITH
  • NPI Number: 1962417188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2011833
LAB Type Pharmacy
Facility Name WALGREENS #05770
Street 3150 S SENECA STREET
City WICHITA
State KS
ZIP 67217
Phone 316 522-7489
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 LINDSEY SMITH

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