17D2211909 CLIA NUMBER - DOWNTOWN DRUG STORE, THE

Laboratory Demographics

  • CLIA Code: 17D2211909
  • Facility Name: DOWNTOWN DRUG STORE, THE
  • Facility Address: 516 E 4TH STREET
    TONGANOXIE, KS
    ZIP 66086
  • Facility Phone: 913 369-3800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH BREUER
  • NPI Number: 1346476900
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2211909
LAB Type Pharmacy
Facility Name DOWNTOWN DRUG STORE, THE
Street 516 E 4TH STREET
City TONGANOXIE
State KS
ZIP 66086
Phone 913 369-3800
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 SARAH BREUER

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