17D2283376 CLIA NUMBER - CVS PHARMACY, LLC DBA CVS/PHARMACY #10304

Laboratory Demographics

  • CLIA Code: 17D2283376
  • Facility Name: CVS PHARMACY, LLC DBA CVS/PHARMACY #10304
  • Facility Address: 203 S WASHINGTON STREET
    JUNCTION CITY, KS
    ZIP 66441
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JODI HEIMERMAN
  • NPI Number: 1063843654
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2283376
LAB Type Pharmacy
Facility Name CVS PHARMACY, LLC DBA CVS/PHARMACY #10304
Street 203 S WASHINGTON STREET
City JUNCTION CITY
State KS
ZIP 66441
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director JODI HEIMERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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