17D2204728 CLIA NUMBER - AUBURN PHARMACY #115

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Laboratory Demographics

CLIA Number: 17D2204728

Facility Name: AUBURN PHARMACY #115

Facility Address:
6 S METCALF RD
LOUISBURG, KS
ZIP 66053
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Facility Phone Number: 913 837-5555

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730264227

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	17D2204728
LAB Type	Pharmacy
Facility Name	AUBURN PHARMACY #115
Street	6 S METCALF RD
City	LOUISBURG
State	KS
ZIP	66053
Phone	913 837-5555
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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