17D2204728 CLIA NUMBER - AUBURN PHARMACY #115

Laboratory Demographics

  • CLIA Code: 17D2204728
  • Facility Name: AUBURN PHARMACY #115
  • Facility Address: 6 S METCALF RD
    LOUISBURG, KS
    ZIP 66053
  • Facility Phone: 913 837-5555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1730264227
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director CHELSEA R. DOHERTY

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