38D2288525 CLIA NUMBER - WALGREENS 21408

Laboratory Demographics

  • CLIA Code: 38D2288525
  • Facility Name: WALGREENS 21408
  • Facility Address: 1701 SHAFF RD
    STAYTON, OR
    ZIP 97383
  • Facility Phone: 503 769-6736
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN M. HAWORTH
  • NPI Number: 1003579517
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2288525
LAB Type Pharmacy
Facility Name WALGREENS 21408
Street 1701 SHAFF RD
City STAYTON
State OR
ZIP 97383
Phone 503 769-6736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director KRISTIN M. HAWORTH

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