17D2242018 CLIA NUMBER - EL-KAN DRUG

Laboratory Demographics

  • CLIA Code: 17D2242018
  • Facility Name: EL-KAN DRUG
  • Facility Address: 1033 N KANSAS AVE
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 624-4065
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH E. HITTLE
  • NPI Number: 1366424145
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2242018
LAB Type Pharmacy
Facility Name EL-KAN DRUG
Street 1033 N KANSAS AVE
City LIBERAL
State KS
ZIP 67901
Phone 620 624-4065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director SARAH E. HITTLE

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This page was last updated on: 3/20/2025