CLIA lab
CLIA 02D1096635: Fred Meyer Pharmacy #649
Palmer, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D1096635 belongs to Fred Meyer Pharmacy #649 in Palmer, AK.
Certificate of Waiver, effective March 9, 2025, expires March 8, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 9, 2025
- Certificate expiration
- March 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 9, 2009
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 02D1096635
- Lab name
- Fred Meyer Pharmacy #649
- Address
- 535 E Palmer-Wasilla Hwy, Palmer, AK 99645
- Phone
- (907) 707-0433
- Fax
- (907) 707-0434
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bruck Clift, MD, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office02D2126565
- Capstone Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office02D2141894
- Carrs Pharmacy #1739Certificate of Waiver, Pharmacy02D2082286
- Cellnetix PathologyCertificate of Accreditation, Independent02D2043058
- Family Health Center, theCertificate of Waiver, Physician office02D0641016
- Haven Midwifery and Birth CenterCertificate of Waiver, Other02D2278279
Related
Questions
What is the CLIA number for Fred Meyer Pharmacy #649 in Palmer?
02D1096635, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fred Meyer Pharmacy #649 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D1096635 expire?
The CMS file lists March 8, 2027 as the certificate expiration date; the certificate took effect March 9, 2025.