17D2300015 CLIA NUMBER - DILLONS PHARMACY #615-039

Laboratory Demographics

  • CLIA Code: 17D2300015
  • Facility Name: DILLONS PHARMACY #615-039
  • Facility Address: 902 EST 12TH AVE
    EMPORIA, KS
    ZIP 66801
  • Facility Phone: 620 343-2360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT TOMASU

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CLIA Record

Field Name Field Value
CLIA Number 17D2300015
LAB Type Pharmacy
Facility Name DILLONS PHARMACY #615-039
Street 902 EST 12TH AVE
City EMPORIA
State KS
ZIP 66801
Phone 620 343-2360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Pharmacy
Lab Director ROBERT TOMASU

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This page was last updated on: 3/20/2025