02D0978395 CLIA NUMBER - FRED MEYER PHARMACY #071

Laboratory Demographics

  • CLIA Code: 02D0978395
  • Facility Name: FRED MEYER PHARMACY #071
  • Facility Address: 2000 W DIMOND BLVD
    ANCHORAGE, AK
    ZIP 99515
  • Facility Phone: 907 267-6733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDI Y. OSMAN
  • NPI Number: 1467497537
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D0978395
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #071
Street 2000 W DIMOND BLVD
City ANCHORAGE
State AK
ZIP 99515
Phone 907 267-6733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Pharmacy
Lab Director ABDI Y. OSMAN

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