50D1015768 CLIA NUMBER - FRED MEYER PHARMACY #00667

Laboratory Demographics

  • CLIA Code: 50D1015768
  • Facility Name: FRED MEYER PHARMACY #00667
  • Facility Address: 1225 W BAKERVIEW RD
    BELLINGHAM, WA
    ZIP 98226
  • Facility Phone: 360 788-2933
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY DICKERSON
  • NPI Number: 1760427108
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1015768
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #00667
Street 1225 W BAKERVIEW RD
City BELLINGHAM
State WA
ZIP 98226
Phone 360 788-2933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2003
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director ANTHONY DICKERSON

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