17D2183959 CLIA NUMBER - OSWEGO DRUG STORE

Laboratory Demographics

  • CLIA Code: 17D2183959
  • Facility Name: OSWEGO DRUG STORE
  • Facility Address: 413 COMMERCIAL ST
    OSWEGO, KS
    ZIP 67356
  • Facility Phone: 620 795-2233
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN G. CHARLES
  • NPI Number: 1124130075
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2183959
LAB Type Pharmacy
Facility Name OSWEGO DRUG STORE
Street 413 COMMERCIAL ST
City OSWEGO
State KS
ZIP 67356
Phone 620 795-2233
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 STEVEN G. CHARLES

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