38D2227735 CLIA NUMBER - NELSON CITY DRUG DBA LEN'S PHARMACY

Laboratory Demographics

  • CLIA Code: 38D2227735
  • Facility Name: NELSON CITY DRUG DBA LEN'S PHARMACY
  • Facility Address: 120 E MAIN STREET
    JOHN DAY, OR
    ZIP 97845
  • Facility Phone: 541 575-0629
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TILLY O. SLUSARENKO
  • NPI Number: 1891737367
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2227735
LAB Type Pharmacy
Facility Name NELSON CITY DRUG DBA LEN'S PHARMACY
Street 120 E MAIN STREET
City JOHN DAY
State OR
ZIP 97845
Phone 541 575-0629
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2023
Certificate Expiration Date 6/15/2025
Facility Type Pharmacy
Lab Director TILLY O. SLUSARENKO

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This page was last updated on: 3/20/2025