13D1010066 CLIA NUMBER - FRED MEYER PHARMACY #226

Laboratory Demographics

  • CLIA Code: 13D1010066
  • Facility Name: FRED MEYER PHARMACY #226
  • Facility Address: 50 2ND ST S
    NAMPA, ID
    ZIP 83651
  • Facility Phone: 208 465-2836
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN HYDE
  • NPI Number: 1225074131
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1010066
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #226
Street 50 2ND ST S
City NAMPA
State ID
ZIP 83651
Phone 208 465-2836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director KRISTEN HYDE

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