38D2212027 CLIA NUMBER - WALGREENS #09287

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Laboratory Demographics

CLIA Number: 38D2212027

Facility Name: WALGREENS #09287

Facility Address:
124 LANCASTER DR SE
SALEM, OR
ZIP 97317
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Facility Phone Number: 503 428-5004

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396799540

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	38D2212027
LAB Type	Pharmacy
Facility Name	WALGREENS #09287
Street	124 LANCASTER DR SE
City	SALEM
State	OR
ZIP	97317
Phone	503 428-5004
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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