17D2039687 CLIA NUMBER - WALGREENS #9455

Laboratory Demographics

  • CLIA Code: 17D2039687
  • Facility Name: WALGREENS #9455
  • Facility Address: 1528 MAIN STREET
    PARSONS, KS
    ZIP 67357
  • Facility Phone: 620 421-1357
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENNIS M. MOWRY
  • NPI Number: 1306851530
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2039687
LAB Type Pharmacy
Facility Name WALGREENS #9455
Street 1528 MAIN STREET
City PARSONS
State KS
ZIP 67357
Phone 620 421-1357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director DENNIS M. MOWRY

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