17D2247749 CLIA NUMBER - SIGLER PRAIRIE STAR PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2247749
  • Facility Name: SIGLER PRAIRIE STAR PHARMACY
  • Facility Address: 23351 PRAIRIE STAR PARKWAY A115
    LENEXA, KS
    ZIP 66227
  • Facility Phone: 913 768-6000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAKENNA L. GREENFIELD
  • NPI Number: 1992115968
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2247749
LAB Type Pharmacy
Facility Name SIGLER PRAIRIE STAR PHARMACY
Street 23351 PRAIRIE STAR PARKWAY A115
City LENEXA
State KS
ZIP 66227
Phone 913 768-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director MAKENNA L. GREENFIELD

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