38D0979856 CLIA NUMBER - QFC PHARMACY #205

Laboratory Demographics

  • CLIA Code: 38D0979856
  • Facility Name: QFC PHARMACY #205
  • Facility Address: 5544 E BURNSIDE
    PORTLAND, OR
    ZIP 97215
  • Facility Phone: 503 239-7710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE GALLAGHER
  • NPI Number: 1700801347
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0979856
LAB Type Pharmacy
Facility Name QFC PHARMACY #205
Street 5544 E BURNSIDE
City PORTLAND
State OR
ZIP 97215
Phone 503 239-7710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Pharmacy
Lab Director JULIE GALLAGHER

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