17D2181810 CLIA NUMBER - EL DORADO TRUECARE PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2181810
  • Facility Name: EL DORADO TRUECARE PHARMACY
  • Facility Address: 205 NORTH VINE STREET
    EL DORADO, KS
    ZIP 67042
  • Facility Phone: 316 321-5330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. BELLESINE
  • NPI Number: 1518485234
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2181810
LAB Type Pharmacy
Facility Name EL DORADO TRUECARE PHARMACY
Street 205 NORTH VINE STREET
City EL DORADO
State KS
ZIP 67042
Phone 316 321-5330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Pharmacy
Lab Director MICHAEL R. BELLESINE

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