38D2289896 CLIA NUMBER - WALGREENS 01100

Laboratory Demographics

  • CLIA Code: 38D2289896
  • Facility Name: WALGREENS 01100
  • Facility Address: 9159 SE 82ND AVE
    HAPPY VALLEY, OR
    ZIP 97086
  • Facility Phone: 503 771-1386
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNY M. YANG
  • NPI Number: 1831106715
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2289896
LAB Type Pharmacy
Facility Name WALGREENS 01100
Street 9159 SE 82ND AVE
City HAPPY VALLEY
State OR
ZIP 97086
Phone 503 771-1386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director JENNY M. YANG

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