17D2072297 CLIA NUMBER - WALGREENS #10150

Laboratory Demographics

  • CLIA Code: 17D2072297
  • Facility Name: WALGREENS #10150
  • Facility Address: 750 EAST MAIN STREET
    GARDNER, KS
    ZIP 66030
  • Facility Phone: 913 884-7912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY DAY
  • NPI Number: 1568546836
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2072297
LAB Type Pharmacy
Facility Name WALGREENS #10150
Street 750 EAST MAIN STREET
City GARDNER
State KS
ZIP 66030
Phone 913 884-7912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director EMILY DAY

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