17D2193393 CLIA NUMBER - ALIXA RX LLC

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Laboratory Demographics

CLIA Number: 17D2193393

Facility Name: ALIXA RX LLC

Facility Address:
11286 RENNER BLVD
LENEXA, KS
ZIP 66219
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Facility Phone Number: 913 307-8150

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316200330

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	17D2193393
LAB Type	Pharmacy
Facility Name	ALIXA RX LLC
Street	11286 RENNER BLVD
City	LENEXA
State	KS
ZIP	66219
Phone	913 307-8150
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024