Costco Optical Laboratory #790

FDA Device Registration & Listing · Tepeji del Rio Hidalgo, MX · Registration 3008101408

Public Record Device Listing Expiry Year: 2026 This page presents structured fields from public FDA datasets.

Registration Header Parameters

Normalized identity and public registration information from FDA records.

Source
FDA Device Registration & Listing
Record Type
Device registration/listing
Registration Number
3008101408
FEI Number
3008101408
Entity Name
Costco Optical Laboratory #790
City/State/Country
Tepeji del Rio Hidalgo, MX
Establishment Address
Avenida Central #3 Lote 1 Manzana 847, Parque Industrial, Tepeji del Rio Hidalgo 42580, MX
Establishment Type(s)
Remanufacture Medical Device,Repack or Relabel Medical Device,Manufacture Medical Device
Owner / Operator
Costco de Mexico, S.A. de C.V. (Owner Number: 10089316)
Owner / Operator Contact Address
Boulevard Magnocentro #4 Colonia: San Fernando La Herradura, Huixquilucan, MX-MEX 52760, MX
Initial Importer Flag
N
Expiration Date (Year)
2026
510(k) Number
N/A
PMA Number
N/A

All Registered Proprietary Names

1879785 Hi index 1.67 Transitions Gray 1879787 Hi index 1.67 Transitions Green 1879786 Hi index 1.67 Transitions Brown

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 2023-11-28

Official Correspondent

Erika Crail Hernandez

US Agent Details

Nikki Bowman Business: Costco Wholesale Corporation Email: NBowman@costco.com Phone: (425) 3138100

Related Public Records

Same Entity

Costco de Mexico, S.A. de C.V.
View consolidated registration, premarket clearance, and recall records for this applicant.
View Entity Profile →

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Source Citation & Summary: This public preview is extracted from openFDA device registration and listing logs under registration number 3008101408. Last updated year: 2026. Please use registration number 3008101408 when referencing this establishment in official correspondence.
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