17D2031229 CLIA NUMBER - WALGREENS #06285

Laboratory Demographics

  • CLIA Code: 17D2031229
  • Facility Name: WALGREENS #06285
  • Facility Address: 2600 VINE STREET
    HAYS, KS
    ZIP 67601
  • Facility Phone: 785 628-1767
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JORDAN FRANGELLO
  • NPI Number: 1134134356
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2031229
LAB Type Pharmacy
Facility Name WALGREENS #06285
Street 2600 VINE STREET
City HAYS
State KS
ZIP 67601
Phone 785 628-1767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director MR. JORDAN FRANGELLO

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