17D2030832 CLIA NUMBER - WALGREENS #10722

Laboratory Demographics

  • CLIA Code: 17D2030832
  • Facility Name: WALGREENS #10722
  • Facility Address: 10 W 15TH STREET
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 624-5334
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON K. ROONEY
  • NPI Number: 1790992394
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2030832
LAB Type Pharmacy
Facility Name WALGREENS #10722
Street 10 W 15TH STREET
City LIBERAL
State KS
ZIP 67901
Phone 620 624-5334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director BRANDON K. ROONEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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