38D2292278 CLIA NUMBER - WALGREENS 04229

Laboratory Demographics

  • CLIA Code: 38D2292278
  • Facility Name: WALGREENS 04229
  • Facility Address: 1992 LANCASTER DR NE
    SALEM, OR
    ZIP 97305
  • Facility Phone: 503 362-4845
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER J. WONG
  • NPI Number: 1780699769
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2292278
LAB Type Pharmacy
Facility Name WALGREENS 04229
Street 1992 LANCASTER DR NE
City SALEM
State OR
ZIP 97305
Phone 503 362-4845
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Pharmacy
Lab Director PETER J. WONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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