38D0971537 CLIA NUMBER - FRED MEYER PHARMACY #255

Laboratory Demographics

  • CLIA Code: 38D0971537
  • Facility Name: FRED MEYER PHARMACY #255
  • Facility Address: 6850 N LOMBARD
    PORTLAND, OR
    ZIP 97203
  • Facility Phone: 503 240-2733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. SEAN TOYOOKA
  • NPI Number: 1811932981
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0971537
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #255
Street 6850 N LOMBARD
City PORTLAND
State OR
ZIP 97203
Phone 503 240-2733
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. SEAN TOYOOKA

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