50D0951635 CLIA NUMBER - FRED MEYER PHARMACY #31

Laboratory Demographics

  • CLIA Code: 50D0951635
  • Facility Name: FRED MEYER PHARMACY #31
  • Facility Address: 17801 108TH AVENUE SE
    RENTON, WA
    ZIP 98055
  • Facility Phone: 425 235-5383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHIRAG VAKHARIA
  • NPI Number: 1275578346
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0951635
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #31
Street 17801 108TH AVENUE SE
City RENTON
State WA
ZIP 98055
Phone 425 235-5383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/1998
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CHIRAG VAKHARIA

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