38D2219408 CLIA NUMBER - WALGREENS #15239

Laboratory Demographics

  • CLIA Code: 38D2219408
  • Facility Name: WALGREENS #15239
  • Facility Address: 27 S COAST HWY
    NEWPORT, OR
    ZIP 97365
  • Facility Phone: 541 574-4405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUCAS THOMPSON
  • NPI Number: 1962849547
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2219408
LAB Type Pharmacy
Facility Name WALGREENS #15239
Street 27 S COAST HWY
City NEWPORT
State OR
ZIP 97365
Phone 541 574-4405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director LUCAS THOMPSON

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