17D2225745 CLIA NUMBER - KANSAS CVS PHARMACY, LLC DBA CVS/PHARMACY #08580

Laboratory Demographics

  • CLIA Code: 17D2225745
  • Facility Name: KANSAS CVS PHARMACY, LLC DBA CVS/PHARMACY #08580
  • Facility Address: 6510 NIEMAN RD
    SHAWNEE, KS
    ZIP 66203
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAROOL PATEL
  • NPI Number: 1902847809
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2225745
LAB Type Pharmacy
Facility Name KANSAS CVS PHARMACY, LLC DBA CVS/PHARMACY #08580
Street 6510 NIEMAN RD
City SHAWNEE
State KS
ZIP 66203
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director PAROOL PATEL

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This page was last updated on: 6/4/2025