17D2011845 CLIA NUMBER - WALGREENS #06363

Laboratory Demographics

  • CLIA Code: 17D2011845
  • Facility Name: WALGREENS #06363
  • Facility Address: 3770 NORTH WOODLAWN STREET
    WICHITA, KS
    ZIP 67220
  • Facility Phone: 316 686-1838
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI PARKS
  • NPI Number: 1770598997
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2011845
LAB Type Pharmacy
Facility Name WALGREENS #06363
Street 3770 NORTH WOODLAWN STREET
City WICHITA
State KS
ZIP 67220
Phone 316 686-1838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director LORI PARKS

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