38D2288271 CLIA NUMBER - WALGREENS 11398

Laboratory Demographics

  • CLIA Code: 38D2288271
  • Facility Name: WALGREENS 11398
  • Facility Address: 439 NE 223RD AVE
    GRESHAM, OR
    ZIP 97030
  • Facility Phone: 503 667-0394
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH M. PATTON
  • NPI Number: 1902075625
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2288271
LAB Type Pharmacy
Facility Name WALGREENS 11398
Street 439 NE 223RD AVE
City GRESHAM
State OR
ZIP 97030
Phone 503 667-0394
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 SARAH M. PATTON

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