38D0971516 CLIA NUMBER - FRED MEYER PHARMACY #021

Laboratory Demographics

  • CLIA Code: 38D0971516
  • Facility Name: FRED MEYER PHARMACY #021
  • Facility Address: 61535 SOUTH HIGHWAY 97
    BEND, OR
    ZIP 97702
  • Facility Phone: 541 385-6658
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ROBERT SILBERNAGEL
  • NPI Number: 1447295837
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0971516
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #021
Street 61535 SOUTH HIGHWAY 97
City BEND
State OR
ZIP 97702
Phone 541 385-6658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Pharmacy
Lab Director MR. ROBERT SILBERNAGEL

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