02D1014293 CLIA NUMBER - FRED MEYER PHARMACY #668

Laboratory Demographics

  • CLIA Code: 02D1014293
  • Facility Name: FRED MEYER PHARMACY #668
  • Facility Address: 13401 OLD GLENN HIGHWAY
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 689-4033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON NEWLAND
  • NPI Number: 1013952548
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D1014293
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #668
Street 13401 OLD GLENN HIGHWAY
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 689-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director AARON NEWLAND

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