17D2240709 CLIA NUMBER - DOUG'S PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2240709
  • Facility Name: DOUG'S PHARMACY
  • Facility Address: 430 MAIN ST
    ROSSVILLE, KS
    ZIP 66533
  • Facility Phone: 785 584-6722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON J. PERINE
  • NPI Number: 1023013927
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2240709
LAB Type Pharmacy
Facility Name DOUG'S PHARMACY
Street 430 MAIN ST
City ROSSVILLE
State KS
ZIP 66533
Phone 785 584-6722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Pharmacy
Lab Director JASON J. PERINE

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