38D0954470 CLIA NUMBER - FRED MEYER PHARMACY #417

Laboratory Demographics

  • CLIA Code: 38D0954470
  • Facility Name: FRED MEYER PHARMACY #417
  • Facility Address: 3333 WEST 11TH AVE
    EUGENE, OR
    ZIP 97402
  • Facility Phone: 541 345-9477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ROB SILBERNAGEL
  • NPI Number: 1114953320
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0954470
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #417
Street 3333 WEST 11TH AVE
City EUGENE
State OR
ZIP 97402
Phone 541 345-9477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Pharmacy
Lab Director MR. ROB SILBERNAGEL

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