38D2219413 CLIA NUMBER - WALGREENS #09651

Laboratory Demographics

  • CLIA Code: 38D2219413
  • Facility Name: WALGREENS #09651
  • Facility Address: 515 MOUNT HOOD STREET
    THE DALLES, OR
    ZIP 97058
  • Facility Phone: 541 296-3190
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARIANA N. FITZPATRICK
  • NPI Number: 1952316945
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2219413
LAB Type Pharmacy
Facility Name WALGREENS #09651
Street 515 MOUNT HOOD STREET
City THE DALLES
State OR
ZIP 97058
Phone 541 296-3190
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 ARIANA N. FITZPATRICK

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