05D2307227 CLIA NUMBER - RITE AID # 5729

Laboratory Demographics

  • CLIA Code: 05D2307227
  • Facility Name: RITE AID # 5729
  • Facility Address: 1688 N PERRIS BLVD
    PERRIS, CA
    ZIP 92571
  • Facility Phone: 951 943-6868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWILL NABIL ANWAR TADRES
  • NPI Number: 1417360611
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 05D2307227
LAB Type Pharmacy
Facility Name RITE AID # 5729
Street 1688 N PERRIS BLVD
City PERRIS
State CA
ZIP 92571
Phone 951 943-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director SHAWILL NABIL ANWAR TADRES

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This page was last updated on: 9/29/2025