38D2298071 CLIA NUMBER - WALGREENS 21409

Laboratory Demographics

  • CLIA Code: 38D2298071
  • Facility Name: WALGREENS 21409
  • Facility Address: 1555 SW 53RD ST
    CORVALLIS, OR
    ZIP 97333
  • Facility Phone: 541 758-3392
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. WILL
  • NPI Number: 1356004865
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2298071
LAB Type Pharmacy
Facility Name WALGREENS 21409
Street 1555 SW 53RD ST
City CORVALLIS
State OR
ZIP 97333
Phone 541 758-3392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director MICHAEL W. WILL

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