Registration Header Parameters

Normalized identity and public registration information from FDA records.

Source

FDA Device Registration & Listing

Record Type

Device registration/listing

Registration Number

1000158117

FEI Number

1000158117

Entity Name

Costco Wholesale #190 Optical Lab

City/State/Country

Auburn, WA, US

Establishment Address

1802 M Street NW, Suite 101, Auburn, WA 98001, US

Establishment Type(s)

Repack or Relabel Medical Device,Manufacture Medical Device

Owner / Operator

COSTCO WHOLESALE CORPORATION (Owner Number: 9067438)

Owner / Operator Contact Address

999 LAKE DRIVE, --, Issaquah, WA 98027, US

Initial Importer Flag

Expiration Date (Year)

2026

510(k) Number

N/A

PMA Number

N/A

All Registered Proprietary Names

Kirkland Signature

Registered Product Listings

Product Code	Device Name	Medical Specialty	Device Class	Regulation Number	Created Date
HQG	Lens, Spectacle, Non-Custom (Prescription)	Ophthalmic	Class 1	886.5844	2021-10-26

Official Correspondent

BECKY RHOTEN

US Agent Details

No US Agent registered (Local establishment).

Related Public Records

Same Entity

COSTCO WHOLESALE CORPORATION

View consolidated registration, premarket clearance, and recall records for this applicant.

View Entity Profile →

Similar Registrations

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3006755718	DONGGUAN YUEHENG OPTICAL CO. LTD.	Dongguan Guangdong, CN
3015534032	BOLLE SAFETY INC	Carlsbad, CA, US
3007675955	Carl Zeiss Vision Canada, Inc.	Toronto Ontario, CA
1000428458	GKB OPHTHALMICS LIMITED - UNIT II	North Goa Goa, IN
3038136215	MEIVISION (VIETNAM) CO., LTD	Ho Chi Minh City, VN

Source Citation & Summary: This public preview is extracted from openFDA device registration and listing logs under registration number 1000158117. Last updated year: 2026. Please use registration number 1000158117 when referencing this establishment in official correspondence.