17D2195928 CLIA NUMBER - MOFFET DRUG

Laboratory Demographics

  • CLIA Code: 17D2195928
  • Facility Name: MOFFET DRUG
  • Facility Address: 102 SOUTH STATE
    NORTON, KS
    ZIP 67654
  • Facility Phone: 785 877-2721
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHASE RICE
  • NPI Number: 1629336391
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2195928
LAB Type Pharmacy
Facility Name MOFFET DRUG
Street 102 SOUTH STATE
City NORTON
State KS
ZIP 67654
Phone 785 877-2721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Pharmacy
Lab Director CHASE RICE

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