38D0971539 CLIA NUMBER - FRED MEYER PHARMACY #285

Laboratory Demographics

  • CLIA Code: 38D0971539
  • Facility Name: FRED MEYER PHARMACY #285
  • Facility Address: 7700 SW BEAVERTON HILLSDALE HWY
    PORTLAND, OR
    ZIP 97225
  • Facility Phone: 503 203-4033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. BRIAN M. ZACHER
  • NPI Number: 1427094382
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0971539
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #285
Street 7700 SW BEAVERTON HILLSDALE HWY
City PORTLAND
State OR
ZIP 97225
Phone 503 203-4033
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. BRIAN M. ZACHER

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