17D2182661 CLIA NUMBER - GRAVES DRUG

Laboratory Demographics

  • CLIA Code: 17D2182661
  • Facility Name: GRAVES DRUG
  • Facility Address: 212 S SUMMIT ST
    ARKANSAS CITY, KS
    ZIP 67005
  • Facility Phone: 620 442-2300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARED PRICE
  • NPI Number: 1780754218
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2182661
LAB Type Pharmacy
Facility Name GRAVES DRUG
Street 212 S SUMMIT ST
City ARKANSAS CITY
State KS
ZIP 67005
Phone 620 442-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Pharmacy
Lab Director DARED PRICE

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