13D0995154 CLIA NUMBER - FRED MEYER PHARMACY #156

Laboratory Demographics

  • CLIA Code: 13D0995154
  • Facility Name: FRED MEYER PHARMACY #156
  • Facility Address: 1555 NORTHGATE MILE
    IDAHO FALLS, ID
    ZIP 83401
  • Facility Phone: (208) 535-2553
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDI Y. OSMAN PHARM D
  • NPI Number: 1831134360
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D0995154
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #156
Street 1555 NORTHGATE MILE
City IDAHO FALLS
State ID
ZIP 83401
Phone 2085352553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2026
Certificate Expiration Date 1/9/2028
Facility Type Pharmacy
Lab Director ABDI Y. OSMAN PHARM D

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: 5/18/2026