17D2208771 CLIA NUMBER - AUBURN PHARMACY#130

Laboratory Demographics

  • CLIA Code: 17D2208771
  • Facility Name: AUBURN PHARMACY#130
  • Facility Address: 311 N HOSPITAL DRIVE
    PAOLA, KS
    ZIP 66071
  • Facility Phone: 913 294-3516
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA DOHERTY
  • NPI Number: 1124111034
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2208771
LAB Type Pharmacy
Facility Name AUBURN PHARMACY#130
Street 311 N HOSPITAL DRIVE
City PAOLA
State KS
ZIP 66071
Phone 913 294-3516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director CHELSEA DOHERTY

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