38D2217941 CLIA NUMBER - WALGREENS #11643

Laboratory Demographics

  • CLIA Code: 38D2217941
  • Facility Name: WALGREENS #11643
  • Facility Address: 1675 COBURG RD
    EUGENE, OR
    ZIP 97401
  • Facility Phone: 541 344-0015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TED HOGGARD
  • NPI Number: 1417105891
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2217941
LAB Type Pharmacy
Facility Name WALGREENS #11643
Street 1675 COBURG RD
City EUGENE
State OR
ZIP 97401
Phone 541 344-0015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director TED HOGGARD

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