CLIA lab

CLIA 38D0954420: Fred Meyer Pharmacy #393

Tualatin, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D0954420 belongs to Fred Meyer Pharmacy #393 in Tualatin, OR.

Certificate of Waiver, effective January 1, 2026, expires December 31, 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
January 1, 2026
Certificate expiration
December 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 25, 1998
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
38D0954420
Lab name
Fred Meyer Pharmacy #393
Address
19200 SW Martinazzi Ave, Tualatin, OR 97062
Phone
(503) 691-4233
Fax
(503) 691-4220

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.

Other labs in Tualatin, OR

Related

Questions

What is the CLIA number for Fred Meyer Pharmacy #393 in Tualatin?

38D0954420, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fred Meyer Pharmacy #393 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D0954420 expire?

The CMS file lists December 31, 2027 as the certificate expiration date; the certificate took effect January 1, 2026.

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