17D2061668 CLIA NUMBER - WALGREENS #11370

Laboratory Demographics

  • CLIA Code: 17D2061668
  • Facility Name: WALGREENS #11370
  • Facility Address: 9500 ANTIOCH ROAD
    OVERLAND PARK, KS
    ZIP 66212
  • Facility Phone: 913 381-0138
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: CALEB J. REASONS
  • NPI Number: 1235467739
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2061668
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #11370
Street 9500 ANTIOCH ROAD
City OVERLAND PARK
State KS
ZIP 66212
Phone 913 381-0138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director CALEB J. REASONS

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This page was last updated on: 3/20/2025