17D2159025 CLIA NUMBER - WALMART PHARMACY #5219

Laboratory Demographics

  • CLIA Code: 17D2159025
  • Facility Name: WALMART PHARMACY #5219
  • Facility Address: 550 CONGRESSIONAL DR
    LAWRENCE, KS
    ZIP 66049
  • Facility Phone: 785 841-1718
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH J. BROWNING
  • NPI Number: 1265672190
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159025
LAB Type Pharmacy
Facility Name WALMART PHARMACY #5219
Street 550 CONGRESSIONAL DR
City LAWRENCE
State KS
ZIP 66049
Phone 785 841-1718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director SARAH J. BROWNING

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