17D2071233 CLIA NUMBER - WALGREENS #06361

Laboratory Demographics

  • CLIA Code: 17D2071233
  • Facility Name: WALGREENS #06361
  • Facility Address: 1330 NORTH WOODLAWN STREET
    WICHITA, KS
    ZIP 67208
  • Facility Phone: 316 684-2828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANG T. BUI
  • NPI Number: 1356357990
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2071233
LAB Type Pharmacy
Facility Name WALGREENS #06361
Street 1330 NORTH WOODLAWN STREET
City WICHITA
State KS
ZIP 67208
Phone 316 684-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director HANG T. BUI

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