38D2218234 CLIA NUMBER - WALGREENS #12068

Laboratory Demographics

  • CLIA Code: 38D2218234
  • Facility Name: WALGREENS #12068
  • Facility Address: 1377 NE STEPHENS ST
    ROSEBURG, OR
    ZIP 97470
  • Facility Phone: 541 672-1509
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIA L. ARELLANO
  • NPI Number: 1114175015
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2218234
LAB Type Pharmacy
Facility Name WALGREENS #12068
Street 1377 NE STEPHENS ST
City ROSEBURG
State OR
ZIP 97470
Phone 541 672-1509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director ELIA L. ARELLANO

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