17D2183717 CLIA NUMBER - WOLKAR DRUG

Laboratory Demographics

  • CLIA Code: 17D2183717
  • Facility Name: WOLKAR DRUG
  • Facility Address: 1920 MILITARY AVE
    BAXTER SPRINGS, KS
    ZIP 66713
  • Facility Phone: 620 856-5555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASWELL D. BRIAN
  • NPI Number: 1053423905
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2183717
LAB Type Pharmacy
Facility Name WOLKAR DRUG
Street 1920 MILITARY AVE
City BAXTER SPRINGS
State KS
ZIP 66713
Phone 620 856-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Pharmacy
Lab Director CASWELL D. BRIAN

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