38D0971526 CLIA NUMBER - FRED MEYER PHARMACY #651

Laboratory Demographics

  • CLIA Code: 38D0971526
  • Facility Name: FRED MEYER PHARMACY #651
  • Facility Address: 1401 SE FIRST
    CANBY, OR
    ZIP 97013
  • Facility Phone: 503 263-4128
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN M. DENNING
  • NPI Number: 1821034737
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0971526
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #651
Street 1401 SE FIRST
City CANBY
State OR
ZIP 97013
Phone 503 263-4128
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 KRISTIN M. DENNING

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