CLIA lab

CLIA 50D0974173: Fred Meyer Pharmacy #457

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

CLIA number 50D0974173 belongs to Fred Meyer Pharmacy #457 in Bothell, WA.

Certificate of Waiver, effective May 30, 2000, expires April 4, 2028.

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
May 30, 2000
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 30, 2000
Facility type
Pharmacy
Ownership (control type)
Unknown
Lab classification
CLIA exempt laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
50D0974173
Lab name
Fred Meyer Pharmacy #457
Address
21045 Bothell-Everett Hwy, Bothell, WA 98021
Phone
(425) 398-7033
Fax
(425) 398-7027

Other labs in Bothell, WA

Related

Questions

What is the CLIA number for Fred Meyer Pharmacy #457 in Bothell?

50D0974173, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fred Meyer Pharmacy #457 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D0974173 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 30, 2000.

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