17D2184663 CLIA NUMBER - KINGMAN DRUG INC DBA CHENEY PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2184663
  • Facility Name: KINGMAN DRUG INC DBA CHENEY PHARMACY
  • Facility Address: 114 NORTH MAIN STREET
    CHENEY, KS
    ZIP 67025
  • Facility Phone: 316 542-0464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MERLIN L. MCFARLAND
  • NPI Number: 1679643480
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2184663
LAB Type Pharmacy
Facility Name KINGMAN DRUG INC DBA CHENEY PHARMACY
Street 114 NORTH MAIN STREET
City CHENEY
State KS
ZIP 67025
Phone 316 542-0464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Pharmacy
Lab Director MERLIN L. MCFARLAND

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