17D2030837 CLIA NUMBER - WALGREENS #9454

Laboratory Demographics

  • CLIA Code: 17D2030837
  • Facility Name: WALGREENS #9454
  • Facility Address: 301 WEST MAIN STREET
    INDEPENDENCE, KS
    ZIP 67301
  • Facility Phone: 620 331-7594
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE L. READINGER
  • NPI Number: 1407861636
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2030837
LAB Type Pharmacy
Facility Name WALGREENS #9454
Street 301 WEST MAIN STREET
City INDEPENDENCE
State KS
ZIP 67301
Phone 620 331-7594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Pharmacy
Lab Director RENEE L. READINGER

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