38D2217389 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 38D2217389
  • Facility Name: WALGREENS CO
  • Facility Address: 9450 SW WILSONVILLE RD
    WILSONVILLE, OR
    ZIP 97070
  • Facility Phone: 503 582-1498
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA VOSIKA
  • NPI Number: 1316952302
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2217389
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 9450 SW WILSONVILLE RD
City WILSONVILLE
State OR
ZIP 97070
Phone 503 582-1498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director SAMANTHA VOSIKA

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