38D2288278 CLIA NUMBER - WALGREENS 05780

Laboratory Demographics

  • CLIA Code: 38D2288278
  • Facility Name: WALGREENS 05780
  • Facility Address: 13939 SW PACIFIC HWY
    TIGARD, OR
    ZIP 97223
  • Facility Phone: 503 670-9812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VUONG D. BUI
  • NPI Number: 1043225022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2288278
LAB Type Pharmacy
Facility Name WALGREENS 05780
Street 13939 SW PACIFIC HWY
City TIGARD
State OR
ZIP 97223
Phone 503 670-9812
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 VUONG D. BUI

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