38D2289827 CLIA NUMBER - WALGREENS 04353

Laboratory Demographics

  • CLIA Code: 38D2289827
  • Facility Name: WALGREENS 04353
  • Facility Address: 4325 SE 82ND AVE
    PORTLAND, OR
    ZIP 97266
  • Facility Phone: (503) 775-9603
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL AMADI
  • NPI Number: 1962417949
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2289827
LAB Type Pharmacy
Facility Name WALGREENS 04353
Street 4325 SE 82ND AVE
City PORTLAND
State OR
ZIP 97266
Phone 5037759603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Pharmacy
Lab Director EMMANUEL AMADI

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This page was last updated on: 5/18/2026