17D2219024 CLIA NUMBER - WALGREENS #04782

Laboratory Demographics

  • CLIA Code: 17D2219024
  • Facility Name: WALGREENS #04782
  • Facility Address: 3696 SW TOPEKA BLVD
    TOPEKA, KS
    ZIP 66611
  • Facility Phone: 785 266-4520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON KUHLMANN
  • NPI Number: 1962417287
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2219024
LAB Type Pharmacy
Facility Name WALGREENS #04782
Street 3696 SW TOPEKA BLVD
City TOPEKA
State KS
ZIP 66611
Phone 785 266-4520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director JASON KUHLMANN

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