38D2292044 CLIA NUMBER - WALGREENS 03801

Laboratory Demographics

  • CLIA Code: 38D2292044
  • Facility Name: WALGREENS 03801
  • Facility Address: 1310 MOLALLA AVE
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 503 723-8863
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN HORNE
  • NPI Number: 1598770570
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2292044
LAB Type Pharmacy
Facility Name WALGREENS 03801
Street 1310 MOLALLA AVE
City OREGON CITY
State OR
ZIP 97045
Phone 503 723-8863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director JUSTIN HORNE

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