17D2183953 CLIA NUMBER - RICHEY'S DRUG STORE

Laboratory Demographics

  • CLIA Code: 17D2183953
  • Facility Name: RICHEY'S DRUG STORE
  • Facility Address: 511 N MAIN ST
    ERIE, KS
    ZIP 66733
  • Facility Phone: 620 244-3661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN J. BUNTIN
  • NPI Number: 1003263120
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2183953
LAB Type Pharmacy
Facility Name RICHEY'S DRUG STORE
Street 511 N MAIN ST
City ERIE
State KS
ZIP 66733
Phone 620 244-3661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director MORGAN J. BUNTIN

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