38D2288297 CLIA NUMBER - WALGREENS 13819

Laboratory Demographics

  • CLIA Code: 38D2288297
  • Facility Name: WALGREENS 13819
  • Facility Address: 1236 NW GARDEN VALLEY BLVD
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 672-8438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN A. HANSEN
  • NPI Number: 1801184072
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2288297
LAB Type Pharmacy
Facility Name WALGREENS 13819
Street 1236 NW GARDEN VALLEY BLVD
City ROSEBURG
State OR
ZIP 97471
Phone 541 672-8438
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 RYAN A. HANSEN

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