17D2204772 CLIA NUMBER - AUBURN PHARMACY #145

Laboratory Demographics

  • CLIA Code: 17D2204772
  • Facility Name: AUBURN PHARMACY #145
  • Facility Address: 1012 POPLAR ST
    WELLSVILLE, KS
    ZIP 66092
  • Facility Phone: 785 883-2462
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA DOHERTY
  • NPI Number: 1144328113
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2204772
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #145
Street 1012 POPLAR ST
City WELLSVILLE
State KS
ZIP 66092
Phone 785 883-2462
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 DOHERTY

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