38D2292899 CLIA NUMBER - WALGREENS 07971

Laboratory Demographics

  • CLIA Code: 38D2292899
  • Facility Name: WALGREENS 07971
  • Facility Address: 1450 S HIGHWAY 97
    REDMOND, OR
    ZIP 97756
  • Facility Phone: 541 548-1731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER J. DATTKE
  • NPI Number: 1043225030
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2292899
LAB Type Pharmacy
Facility Name WALGREENS 07971
Street 1450 S HIGHWAY 97
City REDMOND
State OR
ZIP 97756
Phone 541 548-1731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Pharmacy
Lab Director JENNIFER J. DATTKE

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