50D0968378 CLIA NUMBER - FRED MEYER PHARMACY #608

Laboratory Demographics

  • CLIA Code: 50D0968378
  • Facility Name: FRED MEYER PHARMACY #608
  • Facility Address: 915 NW 45TH ST
    SEATTLE, WA
    ZIP 98107
  • Facility Phone: 206 297-4333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAM DANG
  • NPI Number: 1821034463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0968378
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #608
Street 915 NW 45TH ST
City SEATTLE
State WA
ZIP 98107
Phone 206 297-4333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/1999
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director LAM DANG

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