38D1001340 CLIA NUMBER - FRED MEYER PHARMACY #328

Laboratory Demographics

  • CLIA Code: 38D1001340
  • Facility Name: FRED MEYER PHARMACY #328
  • Facility Address: 650 Q STREET
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 741-5183
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ROB SILBERNAGEL
  • NPI Number: 1003852914
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1001340
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #328
Street 650 Q STREET
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 741-5183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Pharmacy
Lab Director MR. ROB SILBERNAGEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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