17D2038587 CLIA NUMBER - WALGREENS #12586

Laboratory Demographics

  • CLIA Code: 17D2038587
  • Facility Name: WALGREENS #12586
  • Facility Address: 2095 EAST KANSAS AVENUE
    MCPHERSON, KS
    ZIP 67460
  • Facility Phone: 620 241-1581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MACY A. REED
  • NPI Number: 1669601506
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2038587
LAB Type Pharmacy
Facility Name WALGREENS #12586
Street 2095 EAST KANSAS AVENUE
City MCPHERSON
State KS
ZIP 67460
Phone 620 241-1581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director MACY A. REED

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