17D2182350 CLIA NUMBER - SUN FRESH PHARMACY #41

Laboratory Demographics

  • CLIA Code: 17D2182350
  • Facility Name: SUN FRESH PHARMACY #41
  • Facility Address: 2803 S 47TH ST
    KANSAS CITY, KS
    ZIP 66106
  • Facility Phone: 913 831-4140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. HALLIWELL
  • NPI Number: 1275648370
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2182350
LAB Type Pharmacy
Facility Name SUN FRESH PHARMACY #41
Street 2803 S 47TH ST
City KANSAS CITY
State KS
ZIP 66106
Phone 913 831-4140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director MICHAEL T. HALLIWELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025