38D2025203 CLIA NUMBER - FRED MEYER PHARMACY #516

Laboratory Demographics

  • CLIA Code: 38D2025203
  • Facility Name: FRED MEYER PHARMACY #516
  • Facility Address: 30300 SW BOONES FERRY RD
    WILSONVILLE, OR
    ZIP 97070
  • Facility Phone: 503 570-3533
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: KRISTIN M. DENNING
  • NPI Number: 1750676441
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2025203
LAB Type Health Fair
Facility Name FRED MEYER PHARMACY #516
Street 30300 SW BOONES FERRY RD
City WILSONVILLE
State OR
ZIP 97070
Phone 503 570-3533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Health Fair
Lab Director KRISTIN M. DENNING

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