17D2204758 CLIA NUMBER - AUBURN PHARMACY #171

Laboratory Demographics

  • CLIA Code: 17D2204758
  • Facility Name: AUBURN PHARMACY #171
  • Facility Address: 6 W BROADWAY
    LEBO, KS
    ZIP 66856
  • Facility Phone: 620 256-6122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1538635826
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2204758
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #171
Street 6 W BROADWAY
City LEBO
State KS
ZIP 66856
Phone 620 256-6122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director CHELSEA R. DOHERTY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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