50D2044144 CLIA NUMBER - FRED MEYER PHARMACY #682

Laboratory Demographics

  • CLIA Code: 50D2044144
  • Facility Name: FRED MEYER PHARMACY #682
  • Facility Address: 26520 MAPLE VALLEY BLACK DIAMOND RD SE
    MAPLE VALLEY, WA
    ZIP 98038
  • Facility Phone: 425 433-2333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE STEVENS
  • NPI Number: 1154695849
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2044144
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #682
Street 26520 MAPLE VALLEY BLACK DIAMOND RD SE
City MAPLE VALLEY
State WA
ZIP 98038
Phone 425 433-2333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2012
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director CATHERINE STEVENS

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