50D0962944 CLIA NUMBER - FRED MEYER PHARMACY #53

Laboratory Demographics

  • CLIA Code: 50D0962944
  • Facility Name: FRED MEYER PHARMACY #53
  • Facility Address: 16735 SE 272ND STREET
    COVINGTON, WA
    ZIP 98042
  • Facility Phone: 253 639-7433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUREN PANG
  • NPI Number: 1396781837
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0962944
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #53
Street 16735 SE 272ND STREET
City COVINGTON
State WA
ZIP 98042
Phone 253 639-7433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TUREN PANG

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