17D2204181 CLIA NUMBER - AUBURN PHARMACY #190

Laboratory Demographics

  • CLIA Code: 17D2204181
  • Facility Name: AUBURN PHARMACY #190
  • Facility Address: 216 N HARRISON ST
    LINDSBORG, KS
    ZIP 67456
  • Facility Phone: 785 227-3374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1487657144
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2204181
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #190
Street 216 N HARRISON ST
City LINDSBORG
State KS
ZIP 67456
Phone 785 227-3374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Pharmacy
Lab Director CHELSEA R. DOHERTY

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