17D2205358 CLIA NUMBER - JC PHARMACY LLC DBA KOLLHOFF PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2205358
  • Facility Name: JC PHARMACY LLC DBA KOLLHOFF PHARMACY
  • Facility Address: 407 S WASHINGTON ST
    JUNCTION CITY, KS
    ZIP 66441
  • Facility Phone: (785) 238-1000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUE A. KOLLHOFF
  • NPI Number: 1760166250
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2205358
LAB Type Pharmacy
Facility Name JC PHARMACY LLC DBA KOLLHOFF PHARMACY
Street 407 S WASHINGTON ST
City JUNCTION CITY
State KS
ZIP 66441
Phone 7852381000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director SUE A. KOLLHOFF

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This page was last updated on: 5/18/2026