38D2237475 CLIA NUMBER - SUTHERLIN DRUG

Laboratory Demographics

  • CLIA Code: 38D2237475
  • Facility Name: SUTHERLIN DRUG
  • Facility Address: 113 E CENTRAL AVENUE
    SUTHERLIN, OR
    ZIP 97479
  • Facility Phone: 541 459-2712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADY MCNULTY
  • NPI Number: 1184779548
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2237475
LAB Type Pharmacy
Facility Name SUTHERLIN DRUG
Street 113 E CENTRAL AVENUE
City SUTHERLIN
State OR
ZIP 97479
Phone 541 459-2712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Pharmacy
Lab Director BRADY MCNULTY

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