17D2263207 CLIA NUMBER - HUGOTON DRUG

Laboratory Demographics

  • CLIA Code: 17D2263207
  • Facility Name: HUGOTON DRUG
  • Facility Address: 531 S MAIN STREET
    HUGOTON, KS
    ZIP 67951
  • Facility Phone: 620 544-4065
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH HITTLE
  • NPI Number: 1548652761
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2263207
LAB Type Pharmacy
Facility Name HUGOTON DRUG
Street 531 S MAIN STREET
City HUGOTON
State KS
ZIP 67951
Phone 620 544-4065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director SARAH HITTLE

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