50D0980202 CLIA NUMBER - FRED MEYER PHARMACY #215

Laboratory Demographics

  • CLIA Code: 50D0980202
  • Facility Name: FRED MEYER PHARMACY #215
  • Facility Address: 25250 PACIFIC HWY SOUTH
    KENT, WA
    ZIP 98032
  • Facility Phone: 253 946-7433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANN PEREZ
  • NPI Number: 1386687598
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0980202
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #215
Street 25250 PACIFIC HWY SOUTH
City KENT
State WA
ZIP 98032
Phone 253 946-7433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2000
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JOANN PEREZ

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