38D2235326 CLIA NUMBER - WALGREENS #05910

Laboratory Demographics

  • CLIA Code: 38D2235326
  • Facility Name: WALGREENS #05910
  • Facility Address: 25699 SE STARK ST
    TROUTDALE, OR
    ZIP 97060
  • Facility Phone: 503 665-9766
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA PERKINS
  • NPI Number: 1881609873
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2235326
LAB Type Pharmacy
Facility Name WALGREENS #05910
Street 25699 SE STARK ST
City TROUTDALE
State OR
ZIP 97060
Phone 503 665-9766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Pharmacy
Lab Director LAURA PERKINS

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