17D2159138 CLIA NUMBER - WALMART PHARMACY #1802

Laboratory Demographics

  • CLIA Code: 17D2159138
  • Facility Name: WALMART PHARMACY #1802
  • Facility Address: 1501 SW WANAMAKER RD
    TOPEKA, KS
    ZIP 66604
  • Facility Phone: (785) 271-5673
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JD EHLER
  • NPI Number: 1477570877
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159138
LAB Type Pharmacy
Facility Name WALMART PHARMACY #1802
Street 1501 SW WANAMAKER RD
City TOPEKA
State KS
ZIP 66604
Phone 7852715673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director JD EHLER

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This page was last updated on: 5/18/2026