50D0961173 CLIA NUMBER - FRED MEYER PHARMACY #185

Laboratory Demographics

  • CLIA Code: 50D0961173
  • Facility Name: FRED MEYER PHARMACY #185
  • Facility Address: 3184 OCEAN BEACH HWY S
    LONGVIEW, WA
    ZIP 98632
  • Facility Phone: 360 425-6222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFFER OLSON
  • NPI Number: 1659314862
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0961173
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #185
Street 3184 OCEAN BEACH HWY S
City LONGVIEW
State WA
ZIP 98632
Phone 360 425-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JENNIFFER OLSON

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This page was last updated on: 3/20/2025