17D2219978 CLIA NUMBER - WALGREENS #07778

Laboratory Demographics

  • CLIA Code: 17D2219978
  • Facility Name: WALGREENS #07778
  • Facility Address: 1001 SW GAGE BLVD
    TOPEKA, KS
    ZIP 66604
  • Facility Phone: 785 272-3015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILLIP HAYES
  • NPI Number: 1598770810
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2219978
LAB Type Pharmacy
Facility Name WALGREENS #07778
Street 1001 SW GAGE BLVD
City TOPEKA
State KS
ZIP 66604
Phone 785 272-3015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director PHILLIP HAYES

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