17D2019670 CLIA NUMBER - WALGREENS #07060

Laboratory Demographics

  • CLIA Code: 17D2019670
  • Facility Name: WALGREENS #07060
  • Facility Address: 325 BLUEMONT AVENUE
    MANHATTAN, KS
    ZIP 66502
  • Facility Phone: 785 776-9787
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE LAWSON
  • NPI Number: 1689689804
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2019670
LAB Type Pharmacy
Facility Name WALGREENS #07060
Street 325 BLUEMONT AVENUE
City MANHATTAN
State KS
ZIP 66502
Phone 785 776-9787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director STEPHANIE LAWSON

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