17D2022106 CLIA NUMBER - WALGREENS #04981

Laboratory Demographics

  • CLIA Code: 17D2022106
  • Facility Name: WALGREENS #04981
  • Facility Address: 3630 SOUTHWEST WANAMAKER ROAD
    TOPEKA, KS
    ZIP 66614
  • Facility Phone: 785 228-5656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN K. SHULTZ
  • NPI Number: 1528074994
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2022106
LAB Type Pharmacy
Facility Name WALGREENS #04981
Street 3630 SOUTHWEST WANAMAKER ROAD
City TOPEKA
State KS
ZIP 66614
Phone 785 228-5656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director BRYAN K. SHULTZ

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