17D2182860 CLIA NUMBER - WELLS PHARMACY INC DBA PORTER DRUGS

Laboratory Demographics

  • CLIA Code: 17D2182860
  • Facility Name: WELLS PHARMACY INC DBA PORTER DRUGS
  • Facility Address: 506 MAIN ST
    NEODESHA, KS
    ZIP 66757
  • Facility Phone: 620 325-2671
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULA G. WELLS
  • NPI Number: 1487736278
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2182860
LAB Type Pharmacy
Facility Name WELLS PHARMACY INC DBA PORTER DRUGS
Street 506 MAIN ST
City NEODESHA
State KS
ZIP 66757
Phone 620 325-2671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director PAULA G. WELLS

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This page was last updated on: 3/20/2025