38D0991454 CLIA NUMBER - FRED MEYER PHARMACY #660

Laboratory Demographics

  • CLIA Code: 38D0991454
  • Facility Name: FRED MEYER PHARMACY #660
  • Facility Address: 22855 NE PARKLANE
    WOOD VILLAGE, OR
    ZIP 97060
  • Facility Phone: 503 492-5033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEAN TOYOOKA
  • NPI Number: 1497905772
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 38D0991454
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #660
Street 22855 NE PARKLANE
City WOOD VILLAGE
State OR
ZIP 97060
Phone 503 492-5033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director SEAN TOYOOKA

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