17D2193875 CLIA NUMBER - AUBURN PHARMACY #181

Laboratory Demographics

  • CLIA Code: 17D2193875
  • Facility Name: AUBURN PHARMACY #181
  • Facility Address: 5318 W CENTRAL AVE
    WICHITA, KS
    ZIP 67212
  • Facility Phone: 316 252-8600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN WYSSMANN
  • NPI Number: 1922515469
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2193875
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #181
Street 5318 W CENTRAL AVE
City WICHITA
State KS
ZIP 67212
Phone 316 252-8600
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 RYAN WYSSMANN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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