38D2218340 CLIA NUMBER - WALGREENS #06530

Laboratory Demographics

  • CLIA Code: 38D2218340
  • Facility Name: WALGREENS #06530
  • Facility Address: 1700 PACIFIC BLVD SE
    ALBANY, OR
    ZIP 97321
  • Facility Phone: 541 926-5214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER WONG
  • NPI Number: 1598770588
  • Taxonomy: 333600000X - Pharmacy

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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
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 PETER WONG

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