38D2222311 CLIA NUMBER - WALGREENS #05952

Laboratory Demographics

  • CLIA Code: 38D2222311
  • Facility Name: WALGREENS #05952
  • Facility Address: 7280 SW BEAVERTON HILLSDALE HWY
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 296-7454
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOC H. NGUYEN
  • NPI Number: 1417962408
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2222311
LAB Type Pharmacy
Facility Name WALGREENS #05952
Street 7280 SW BEAVERTON HILLSDALE HWY
City PORTLAND
State OR
ZIP 97225
Phone 503 296-7454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director LOC H. NGUYEN

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