38D2222314 CLIA NUMBER - WALGREENS #09625

Laboratory Demographics

  • CLIA Code: 38D2222314
  • Facility Name: WALGREENS #09625
  • Facility Address: 17850 LOWER BOONES FERRY RD
    LAKE OSWEGO, OR
    ZIP 97035
  • Facility Phone: 971 233-0113
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN ADAMS
  • NPI Number: 1841232089
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2222314
LAB Type Pharmacy
Facility Name WALGREENS #09625
Street 17850 LOWER BOONES FERRY RD
City LAKE OSWEGO
State OR
ZIP 97035
Phone 971 233-0113
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 RYAN ADAMS

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