17D2268331 CLIA NUMBER - DAMM PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2268331
  • Facility Name: DAMM PHARMACY
  • Facility Address: 201 N BALTIMORE
    DERBY, KS
    ZIP 67037
  • Facility Phone: 316 788-5533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARED PRICE
  • NPI Number: 1568579316
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2268331
LAB Type Pharmacy
Facility Name DAMM PHARMACY
Street 201 N BALTIMORE
City DERBY
State KS
ZIP 67037
Phone 316 788-5533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Pharmacy
Lab Director DARED PRICE

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