50D0965260 CLIA NUMBER - FRED MEYER PHARMACY #186

Laboratory Demographics

  • CLIA Code: 50D0965260
  • Facility Name: FRED MEYER PHARMACY #186
  • Facility Address: 700 SLEATER KINNEY RD SE
    LACEY, WA
    ZIP 98503
  • Facility Phone: (360) 438-6483
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIJAY KAZA

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CLIA Record

Field Name Field Value
CLIA Number 50D0965260
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #186
Street 700 SLEATER KINNEY RD SE
City LACEY
State WA
ZIP 98503
Phone 3604386483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director VIJAY KAZA

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This page was last updated on: 5/18/2026