17D2061670 CLIA NUMBER - WALGREENS #06920

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Laboratory Demographics

CLIA Number: 17D2061670

Facility Name: WALGREENS #06920

Facility Address:
8681 WEST 135TH STREET
OVERLAND PARK, KS
ZIP 66223
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Facility Phone Number: 913 239-9168

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417963059

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	17D2061670
LAB Type	Pharmacy
Facility Name	WALGREENS #06920
Street	8681 WEST 135TH STREET
City	OVERLAND PARK
State	KS
ZIP	66223
Phone	913 239-9168
CertificateType	4
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024