38D2220876 CLIA NUMBER - WALGREENS #10137

Laboratory Demographics

  • CLIA Code: 38D2220876
  • Facility Name: WALGREENS #10137
  • Facility Address: 38241 PROCTOR BLVD
    SANDY, OR
    ZIP 97055
  • Facility Phone: 503 668-1384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DANIEL LUPAS
  • NPI Number: 1093998627
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2220876
LAB Type Pharmacy
Facility Name WALGREENS #10137
Street 38241 PROCTOR BLVD
City SANDY
State OR
ZIP 97055
Phone 503 668-1384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director MR. DANIEL LUPAS

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