17D2061358 CLIA NUMBER - WALGREENS #9424

Laboratory Demographics

  • CLIA Code: 17D2061358
  • Facility Name: WALGREENS #9424
  • Facility Address: 12601 PFLUMM ROAD
    OVERLAND PARK, KS
    ZIP 66213
  • Facility Phone: 913 764-3471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY Y. KO
  • NPI Number: 1316952542
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2061358
LAB Type Pharmacy
Facility Name WALGREENS #9424
Street 12601 PFLUMM ROAD
City OVERLAND PARK
State KS
ZIP 66213
Phone 913 764-3471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Pharmacy
Lab Director ASHLEY Y. KO

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