17D2283378 CLIA NUMBER - KANSAS CVS PHARMACY, LLC DBA CVS/PHARMACY #08603

Laboratory Demographics

  • CLIA Code: 17D2283378
  • Facility Name: KANSAS CVS PHARMACY, LLC DBA CVS/PHARMACY #08603
  • Facility Address: 3750 STATE AVENUE
    KANSAS CITY, KS
    ZIP 66102
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HENRY HE
  • NPI Number: 1376587741
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2283378
LAB Type Pharmacy
Facility Name KANSAS CVS PHARMACY, LLC DBA CVS/PHARMACY #08603
Street 3750 STATE AVENUE
City KANSAS CITY
State KS
ZIP 66102
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 HENRY HE

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