38D2222599 CLIA NUMBER - OREGON CVS PHARMACY LLC DBA CVS/PHARMACY #16140

Laboratory Demographics

CLIA Number: 38D2222599

Facility Name: OREGON CVS PHARMACY LLC DBA CVS/PHARMACY #16140

Facility Address:
2295 SE TUALATIN VALLEY HWY
HILLSBORO, OR
ZIP 97123
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Facility Phone Number: 503 707-0000

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659393379

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	38D2222599
LAB Type	Pharmacy
Facility Name	OREGON CVS PHARMACY LLC DBA CVS/PHARMACY #16140
Street	2295 SE TUALATIN VALLEY HWY
City	HILLSBORO
State	OR
ZIP	97123
Phone	503 707-0000
CertificateType	4
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Waiver

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