50D0965025 CLIA NUMBER - FRED MEYER PHARMACY #24

Laboratory Demographics

  • CLIA Code: 50D0965025
  • Facility Name: FRED MEYER PHARMACY #24
  • Facility Address: 920 S BURLINGTON BLVD
    BURLINGTON, WA
    ZIP 98233
  • Facility Phone: 360 757-9133
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE CRIDER
  • NPI Number: 1669408878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0965025
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #24
Street 920 S BURLINGTON BLVD
City BURLINGTON
State WA
ZIP 98233
Phone 360 757-9133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director STEVE CRIDER

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