38D2218340 CLIA NUMBER - WALGREENS #06530

Laboratory Demographics

CLIA Number: 38D2218340

Facility Name: WALGREENS #06530

Facility Address:
1700 PACIFIC BLVD SE
ALBANY, OR
ZIP 97321
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Facility Phone Number: 541 926-5214

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598770588

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	38D2218340
LAB Type	Pharmacy
Facility Name	WALGREENS #06530
Street	1700 PACIFIC BLVD SE
City	ALBANY
State	OR
ZIP	97321
Phone	541 926-5214
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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