17D2204178 CLIA NUMBER - AUBURN PHARMACY #175

Home > CLIA Lookup > 17D2204178

Laboratory Demographics

CLIA Number: 17D2204178

Facility Name: AUBURN PHARMACY #175

Facility Address:
1518 N BUCKEYE AVE
ABILENE, KS
ZIP 67410
Get Directions

Facility Phone Number: 785 263-3770

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023535283

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	17D2204178
LAB Type	Pharmacy
Facility Name	AUBURN PHARMACY #175
Street	1518 N BUCKEYE AVE
City	ABILENE
State	KS
ZIP	67410
Phone	785 263-3770
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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