50D0965214 CLIA NUMBER - FRED MEYER PHARMACY #171

Laboratory Demographics

  • CLIA Code: 50D0965214
  • Facility Name: FRED MEYER PHARMACY #171
  • Facility Address: 5050 STATE HIGHWAY 303 NE
    BREMERTON, WA
    ZIP 98311
  • Facility Phone: 360 792-2833
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY COX
  • NPI Number: 1033155577
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0965214
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #171
Street 5050 STATE HIGHWAY 303 NE
City BREMERTON
State WA
ZIP 98311
Phone 360 792-2833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director AMY COX

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