17D2043650 CLIA NUMBER - WALGREENS #13950

Laboratory Demographics

  • CLIA Code: 17D2043650
  • Facility Name: WALGREENS #13950
  • Facility Address: 4701 TOWN CENTER DRIVE
    LEAWOOD, KS
    ZIP 66211
  • Facility Phone: 913 469-4014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA A. DUNNING
  • NPI Number: 1205104973
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2043650
LAB Type Pharmacy
Facility Name WALGREENS #13950
Street 4701 TOWN CENTER DRIVE
City LEAWOOD
State KS
ZIP 66211
Phone 913 469-4014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director AMANDA A. DUNNING

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