38D2233319 CLIA NUMBER - SEMPERTS REXALL DRUG STORE, INC

Laboratory Demographics

  • CLIA Code: 38D2233319
  • Facility Name: SEMPERTS REXALL DRUG STORE, INC
  • Facility Address: 735 SPRUCE ST
    MYRTLE POINT, OR
    ZIP 97458
  • Facility Phone: 541 572-5010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. PETERSEN RPH
  • NPI Number: 1962579540
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2233319
LAB Type Pharmacy
Facility Name SEMPERTS REXALL DRUG STORE, INC
Street 735 SPRUCE ST
City MYRTLE POINT
State OR
ZIP 97458
Phone 541 572-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director MICHELLE L. PETERSEN RPH

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