38D2237997 CLIA NUMBER - STAYTON PHARMACY

Laboratory Demographics

  • CLIA Code: 38D2237997
  • Facility Name: STAYTON PHARMACY
  • Facility Address: 102 MARTIN DRIVE SUITE A
    STAYTON, OR
    ZIP 97383
  • Facility Phone: 503 769-2616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA M. NETLAND
  • NPI Number: 1588685184
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2237997
LAB Type Pharmacy
Facility Name STAYTON PHARMACY
Street 102 MARTIN DRIVE SUITE A
City STAYTON
State OR
ZIP 97383
Phone 503 769-2616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Pharmacy
Lab Director MELISSA M. NETLAND

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