38D2206634 CLIA NUMBER - WALGREENS #15071

Laboratory Demographics

  • CLIA Code: 38D2206634
  • Facility Name: WALGREENS #15071
  • Facility Address: 13470 NW CORNELL RD
    PORTLAND, OR
    ZIP 97229
  • Facility Phone: 503 646-3438
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: SUNAH BYUN
  • NPI Number: 1225043219
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2206634
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #15071
Street 13470 NW CORNELL RD
City PORTLAND
State OR
ZIP 97229
Phone 503 646-3438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director SUNAH BYUN

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