17D2204183 CLIA NUMBER - AUBURN PHARMACY #155

Laboratory Demographics

  • CLIA Code: 17D2204183
  • Facility Name: AUBURN PHARMACY #155
  • Facility Address: 429 N MAPLE ST
    GARNETT, KS
    ZIP 66032
  • Facility Phone: 785 448-6122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1982121224
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2204183
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #155
Street 429 N MAPLE ST
City GARNETT
State KS
ZIP 66032
Phone 785 448-6122
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