02D1078133 CLIA NUMBER - FRED MEYER PHARMACY #158

Laboratory Demographics

  • CLIA Code: 02D1078133
  • Facility Name: FRED MEYER PHARMACY #158
  • Facility Address: 8181 OLD GLACIER ROAD
    JUNEAU, AK
    ZIP 99801
  • Facility Phone: 907 789-6533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDI Y. OSMAN
  • NPI Number: 1457374613
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D1078133
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #158
Street 8181 OLD GLACIER ROAD
City JUNEAU
State AK
ZIP 99801
Phone 907 789-6533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Pharmacy
Lab Director ABDI Y. OSMAN

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