17D2276040 CLIA NUMBER - KEX RX PHARMACY & HOME CARE

Laboratory Demographics

CLIA Number: 17D2276040

Facility Name: KEX RX PHARMACY & HOME CARE

Facility Address:
101 S 6TH STREET
HIAWATHA, KS
ZIP 66434
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Facility Phone Number: 785 742-2125

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538538780

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	17D2276040
LAB Type	Pharmacy
Facility Name	KEX RX PHARMACY & HOME CARE
Street	101 S 6TH STREET
City	HIAWATHA
State	KS
ZIP	66434
Phone	785 742-2125
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024