38D0996098 CLIA NUMBER - FRED MEYER PHARMACY #218

Laboratory Demographics

  • CLIA Code: 38D0996098
  • Facility Name: FRED MEYER PHARMACY #218
  • Facility Address: 695 HWY 101
    WARRENTON, OR
    ZIP 97146
  • Facility Phone: 503 861-3033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. STEVEN W. BASS
  • NPI Number: 1477599017
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0996098
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #218
Street 695 HWY 101
City WARRENTON
State OR
ZIP 97146
Phone 503 861-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director MR. STEVEN W. BASS

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This page was last updated on: 6/4/2025