38D2292279 CLIA NUMBER - WALGREENS 06852

Laboratory Demographics

  • CLIA Code: 38D2292279
  • Facility Name: WALGREENS 06852
  • Facility Address: 19975 SW TUALATIN VALLEY HWY
    BEAVERTON, OR
    ZIP 97003
  • Facility Phone: 503 848-7297
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOAN T. THAI
  • NPI Number: 1780699777
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2292279
LAB Type Pharmacy
Facility Name WALGREENS 06852
Street 19975 SW TUALATIN VALLEY HWY
City BEAVERTON
State OR
ZIP 97003
Phone 503 848-7297
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 TOAN T. THAI

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