38D2222318 CLIA NUMBER - WALGREENS #13727

Laboratory Demographics

  • CLIA Code: 38D2222318
  • Facility Name: WALGREENS #13727
  • Facility Address: 20100 MCLOUGHLIN BLVD
    GLADSTONE, OR
    ZIP 97027
  • Facility Phone: 503 722-0868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH D. OLA
  • NPI Number: 1043508393
  • Taxonomy: 333600000X - Pharmacy

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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
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 HANNAH D. OLA

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