38D2222318 CLIA NUMBER - WALGREENS #13727

Laboratory Demographics

CLIA Number: 38D2222318

Facility Name: WALGREENS #13727

Facility Address:
20100 MCLOUGHLIN BLVD
GLADSTONE, OR
ZIP 97027
Get Directions

Facility Phone Number: 503 722-0868

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043508393

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	38D2222318
LAB Type	Pharmacy
Facility Name	WALGREENS #13727
Street	20100 MCLOUGHLIN BLVD
City	GLADSTONE
State	OR
ZIP	97027
Phone	503 722-0868
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024