50D0964314 CLIA NUMBER - FRED MEYER PHARMACY #25

Laboratory Demographics

  • CLIA Code: 50D0964314
  • Facility Name: FRED MEYER PHARMACY #25
  • Facility Address: 800 LAKEWAY DRIVE
    BELLINGHAM, WA
    ZIP 98226
  • Facility Phone: 360 676-1105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHIRLEE CLARET
  • NPI Number: 1861438301
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0964314
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #25
Street 800 LAKEWAY DRIVE
City BELLINGHAM
State WA
ZIP 98226
Phone 360 676-1105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SHIRLEE CLARET

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