17D2234894 CLIA NUMBER - LAKIN DRUG, LLC

Laboratory Demographics

  • CLIA Code: 17D2234894
  • Facility Name: LAKIN DRUG, LLC
  • Facility Address: 610 OLOUGHLIN ST
    LAKIN, KS
    ZIP 67860
  • Facility Phone: 620 355-8101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYSON W. MULLEN
  • NPI Number: 1750852455
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2234894
LAB Type Pharmacy
Facility Name LAKIN DRUG, LLC
Street 610 OLOUGHLIN ST
City LAKIN
State KS
ZIP 67860
Phone 620 355-8101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Pharmacy
Lab Director TYSON W. MULLEN

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