17D2031226 CLIA NUMBER - WALGREENS # 07817

Laboratory Demographics

  • CLIA Code: 17D2031226
  • Facility Name: WALGREENS # 07817
  • Facility Address: 1801 N 14TH AVE
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 225-6095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLANIKE ALIMI
  • NPI Number: 1942215165
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2031226
LAB Type Pharmacy
Facility Name WALGREENS # 07817
Street 1801 N 14TH AVE
City DODGE CITY
State KS
ZIP 67801
Phone 620 225-6095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director OLANIKE ALIMI

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