38D0979857 CLIA NUMBER - QFC PHARMACY #202

Laboratory Demographics

CLIA Number: 38D0979857

Facility Name: QFC PHARMACY #202

Facility Address:
7525 SW BARNES RD
PORTLAND, OR
ZIP 97225
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Facility Phone Number: 503 203-5951

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619992252

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	38D0979857
LAB Type	Pharmacy
Facility Name	QFC PHARMACY #202
Street	7525 SW BARNES RD
City	PORTLAND
State	OR
ZIP	97225
Phone	503 203-5951
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024