38D2292275 CLIA NUMBER - WALGREENS 21410

Laboratory Demographics

  • CLIA Code: 38D2292275
  • Facility Name: WALGREENS 21410
  • Facility Address: 444 PACIFIC AVE 5
    MONMOUTH, OR
    ZIP 97361
  • Facility Phone: 503 838-1176
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGHAN R. PRIEBE
  • NPI Number: 1720741234
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2292275
LAB Type Pharmacy
Facility Name WALGREENS 21410
Street 444 PACIFIC AVE 5
City MONMOUTH
State OR
ZIP 97361
Phone 503 838-1176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2023
Certificate Expiration Date 10/22/2025
Facility Type Pharmacy
Lab Director MEGHAN R. PRIEBE

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