50D0982763 CLIA NUMBER - FRED MEYER PHARMACY #214

Laboratory Demographics

  • CLIA Code: 50D0982763
  • Facility Name: FRED MEYER PHARMACY #214
  • Facility Address: 12120 N DIVISION
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 465-4433
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BRETT WATSON
  • NPI Number: 1205872744
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D0982763
LAB Type Mobile Laboratory
Facility Name FRED MEYER PHARMACY #214
Street 12120 N DIVISION
City SPOKANE
State WA
ZIP 99218
Phone 509 465-4433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2001
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director BRETT WATSON

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