17D2193874 CLIA NUMBER - AUBURN PHARMACY #135

Laboratory Demographics

  • CLIA Code: 17D2193874
  • Facility Name: AUBURN PHARMACY #135
  • Facility Address: 401 W FRONTIER ST, SUITE 300
    OLATHE, KS
    ZIP 66061
  • Facility Phone: 913 294-9125
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1720391055
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2193874
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #135
Street 401 W FRONTIER ST, SUITE 300
City OLATHE
State KS
ZIP 66061
Phone 913 294-9125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Pharmacy
Lab Director CHELSEA R. DOHERTY

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