38D2241806 CLIA NUMBER - WALGREENS #01082

Laboratory Demographics

  • CLIA Code: 38D2241806
  • Facility Name: WALGREENS #01082
  • Facility Address: 4816 NW BETHANY BLVD
    PORTLAND, OR
    ZIP 97229
  • Facility Phone: 503 439-9014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI AL-SADAI
  • NPI Number: 1023025905
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2241806
LAB Type Pharmacy
Facility Name WALGREENS #01082
Street 4816 NW BETHANY BLVD
City PORTLAND
State OR
ZIP 97229
Phone 503 439-9014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director ALI AL-SADAI

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