38D2251886 CLIA NUMBER - WALGREENS #15674

Laboratory Demographics

  • CLIA Code: 38D2251886
  • Facility Name: WALGREENS #15674
  • Facility Address: 223 NE FRANKLIN AVE
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 633-4469
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN W. HORNE
  • NPI Number: 1528474269
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2251886
LAB Type Pharmacy
Facility Name WALGREENS #15674
Street 223 NE FRANKLIN AVE
City BEND
State OR
ZIP 97701
Phone 541 633-4469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director JUSTIN W. HORNE

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