02D0992175 CLIA NUMBER - FRED MEYER PHARMACY #011

Laboratory Demographics

  • CLIA Code: 02D0992175
  • Facility Name: FRED MEYER PHARMACY #011
  • Facility Address: 1000 EAST NORTHERN LIGHTS BLVD
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 264-9633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDI Y. OSMAN
  • NPI Number: 1518903475
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 02D0992175
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #011
Street 1000 EAST NORTHERN LIGHTS BLVD
City ANCHORAGE
State AK
ZIP 99508
Phone 907 264-9633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director ABDI Y. OSMAN

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