38D0996099 CLIA NUMBER - FRED MEYER PHARMACY #220

Laboratory Demographics

  • CLIA Code: 38D0996099
  • Facility Name: FRED MEYER PHARMACY #220
  • Facility Address: 3300 PORTLAND BLVD SUITE 100
    NEWBERG, OR
    ZIP 97132
  • Facility Phone: 503 537-1383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN M. DENNING
  • NPI Number: 1265477657
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D0996099
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #220
Street 3300 PORTLAND BLVD SUITE 100
City NEWBERG
State OR
ZIP 97132
Phone 503 537-1383
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 KRISTIN M. DENNING

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