17D2308987 CLIA NUMBER - DANDURAND WELLNESS, INC

Laboratory Demographics

  • CLIA Code: 17D2308987
  • Facility Name: DANDURAND WELLNESS, INC
  • Facility Address: 550 N HILLSIDE, STE 3-100
    WICHITA, KS
    ZIP 67214
  • Facility Phone: 316 962-4210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANDILYN R. COFFMAN
  • NPI Number: 1356807044
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2308987
LAB Type Pharmacy
Facility Name DANDURAND WELLNESS, INC
Street 550 N HILLSIDE, STE 3-100
City WICHITA
State KS
ZIP 67214
Phone 316 962-4210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Pharmacy
Lab Director MANDILYN R. COFFMAN

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