50D0937787 CLIA NUMBER - FRED MEYER PHARMACY #28

Laboratory Demographics

  • CLIA Code: 50D0937787
  • Facility Name: FRED MEYER PHARMACY #28
  • Facility Address: 14300 FIRST AVE S
    BURIEN, WA
    ZIP 98168
  • Facility Phone: 206 439-6060
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HUMA SHAKIR
  • NPI Number: 1821024555
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0937787
LAB Type Mobile Laboratory
Facility Name FRED MEYER PHARMACY #28
Street 14300 FIRST AVE S
City BURIEN
State WA
ZIP 98168
Phone 206 439-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/1997
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director HUMA SHAKIR

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