38D2288229 CLIA NUMBER - WALGREENS 03925

Laboratory Demographics

  • CLIA Code: 38D2288229
  • Facility Name: WALGREENS 03925
  • Facility Address: 3 NE 82ND AVE
    PORTLAND, OR
    ZIP 97220
  • Facility Phone: 503 408-0729
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC LEE SAULSBURY
  • NPI Number: 1144235128
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2288229
LAB Type Pharmacy
Facility Name WALGREENS 03925
Street 3 NE 82ND AVE
City PORTLAND
State OR
ZIP 97220
Phone 503 408-0729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director ERIC LEE SAULSBURY

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