17D2225492 CLIA NUMBER - KANSAS CVS PHARMACY, LLC CVS/PHARMACY #08608

Laboratory Demographics

  • CLIA Code: 17D2225492
  • Facility Name: KANSAS CVS PHARMACY, LLC CVS/PHARMACY #08608
  • Facility Address: 4645 SHAWNEE DR
    KANSAS CITY, KS
    ZIP 66106
  • Facility Phone: 401 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN JUST
  • NPI Number: 1720022197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2225492
LAB Type Pharmacy
Facility Name KANSAS CVS PHARMACY, LLC CVS/PHARMACY #08608
Street 4645 SHAWNEE DR
City KANSAS CITY
State KS
ZIP 66106
Phone 401 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director SUSAN JUST

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