38D2223084 CLIA NUMBER - WALGREENS #10893

Laboratory Demographics

  • CLIA Code: 38D2223084
  • Facility Name: WALGREENS #10893
  • Facility Address: 1080 SW 1ST AVE
    CANBY, OR
    ZIP 97013
  • Facility Phone: 503 263-1600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIQUN YANG
  • NPI Number: 1194932277
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2223084
LAB Type Pharmacy
Facility Name WALGREENS #10893
Street 1080 SW 1ST AVE
City CANBY
State OR
ZIP 97013
Phone 503 263-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director LIQUN YANG

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