17D2211859 CLIA NUMBER - AUBURN PHARMACY #168

Laboratory Demographics

  • CLIA Code: 17D2211859
  • Facility Name: AUBURN PHARMACY #168
  • Facility Address: 716 N 4TH STREET
    BURLINGTON, KS
    ZIP 66839
  • Facility Phone: 620 364-3388
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1477668408
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2211859
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #168
Street 716 N 4TH STREET
City BURLINGTON
State KS
ZIP 66839
Phone 620 364-3388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Pharmacy
Lab Director CHELSEA R. DOHERTY

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